Original articleGeneral thoracicInverted Lobes Have Satisfactory Functions Compared With Noninverted Lobes in Lung Transplantation
Section snippets
Patients and Methods
This study was approved by the Kyoto University Institutional Review Board. Between 2008 and 2015, 125 lung transplantations were performed at Kyoto University Hospital. Among these cases, 64 patients underwent LDLLT. After excluding 29 patients, including pediatric patients, those undergoing bilateral native lung–sparing LDLLT or retransplantation, and patients who died or developed chronic lung allograft dysfunction within 6 months or could not undergo pulmonary function testing at 6 months
Patient Characteristics
Among 35 adult recipients (15 men, 20 women), the median age was 51 years (range, 22 to 63 years). Bilateral LDLLT was performed in 34patients and single inverted LDLLT in 1 patient. The 34 LDLLTs consisted of 25 standard bilateral LDLLTs, 5 inverted bilateral LDLLTs, 1 inverted bilateral LDLLT combined with the unilaterally native-sparing technique, and 3 unilaterally native-sparing bilateral LDLLT (Table 1).
The most frequent indication was interstitial pneumonia (n = 18), followed by
Comment
In this analysis, we found two important findings concerning graft function and graft volume and one important finding concerning the donor outcomes in LDLLT. The postoperative graft function of the inverted right lower lobe was significantly better than that of the left lower lobe and equivalent to that of the noninverted right lower lobe. The postoperative graft volume of the inverted right lower lobe was significantly larger than that of the left lower lobe and equivalent to that of the
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