My 20 years with lung transplantation_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

 CHEN Jingyu ^1,2

1. Wuxi Lung Transplant Center, Wuxi People's Hospital Affiliated with Nanjing Medical University, Wuxi, Jiangsu 214000, P. R. China;
2. Department of Lung Transplantation, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P. R. China;

Corresponding author：

CHEN Jingyu, Email: chenjy@wuxiph.com

Keywords：

lung transplantation; end-stage lung diseases; donors; Green channel of human organ transplantation; surgical technique

DOI：

10.7507/1671-6205.202207072

Video：

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Lung transplantation has developed in China for nearly half a century. The Wuxi lung transplant team completed our first lung transplantation on September 28, 2002. By the year of 2021, the total number of lung transplantation in China has been increased to 775, while 49 medical centers have been qualified to perform lung transplantation. During the past two decades, we vigorously promoted lung transplantation technique, cooperated and communicated with colleagues in relevant specialties. Thus, more and more patients with end-stage lung diseases could be evaluated and transplanted to save their lives, with the support of medical insurance and funds. The full-process monitoring and staged objective management, have been well established regarding to donor evaluation standards and acquisition procedures, the green channel for organ transportation, postoperative intensive care unit management, prevention of rejection and infection, as well as long-term follow-up of recipients. Based on the classical lung transplantation surgical techniques, technical breakthroughs have been made while the public’s acknowledgement of lung transplantation has been also enhanced. In the future, lung transplantation techniques will be increasingly challenged by new technologies and ethics, bringing diversified opportunities and challenges to the lung transplantation team collaboration.

Citation： CHEN Jingyu. My 20 years with lung transplantation. Chinese Journal of Respiratory and Critical Care Medicine, 2022, 21(8): 533-537. doi: 10.7507/1671-6205.202207072 Copy

1.	Wu B, Hu CX, Chen WH, et al. China lung transplantation developing: past, present and future. Ann Transl Med, 2020, 8(3): 41.
2.	Hu CX, Chen WH, He JX, et al. Lung transplantation in China between 2015 and 2018. Chin Med J (Engl), 2019, 132(23): 2783-2789.
3.	王胜飞, 陈静瑜, 刘懿, 等. 双肺移植治疗儿童囊性纤维化的多学科综合诊疗. 器官移植, 2021, 12(2): 184-190.
4.	Wu B, Huang M, Jiao GH, et al; China Lung Transplantation Alliance; National Lung Transplantation Expert Group for COVID-19. Lung transplantation during the outbreak of coronavirus disease 2019 in China. J Thorac Cardiovasc Surg, 2022, 163(1): 326-335.e6.
5.	Chen JY, Qiao K, Liu F, et al. Lung transplantation as therapeutic option in acute respiratory distress syndrome for coronavirus disease 2019-related pulmonary fibrosis. Chin Med J (Engl), 2020, 133(12): 1390-1396.
6.	Reis FPD, Fernandes LM, Abdalla LG, et al. Brazilian initial experience with lung transplantation due to irreversible lung fibrosis post-COVID-19 in a national reference center: a cohort study. Sao Paulo Med J, 2022, 140(1): 153-159.
7.	Cypel M, Keshavjee S. When to consider lung transplantation for COVID-19. Lancet Respir Med, 2020, 8(10): 944-9446.
8.	Zhang ZR, Ding H, Liu F, et al. Successful bilateral lung transplantation and simultaneous Nuss technique correction of pectus excavatum post-allogeneic haematopoietic stem cell transplantation. Interact Cardiovasc Thorac Surg, 2020, 30(2): 319-320.
9.	黄曼, 高晨阳, 程海峰, 等. 中国首例单肺移植联合冠状动脉旁路移植术及文献复习. 中华器官移植杂志, 2022, 43(3): 172-174.
10.	Wang ZT, Jiao GQ, Huang J, et al. Management of Eisenmenger syndrome by cardiac defect closure combined bilateral lung transplantation with intraoperative venoarterial ECMO support. J Card Surg, 2021, 36(4): 1560-1562.
11.	Liu F, Hsin MKY, Wu M, et al. Bilateral lobar lung transplantation and a single lung transplantation using lungs from a single organ donor during coronavirus disease 2019 pandemic. Chin Med J (Engl), 2021, 134(17): 2122-2124.
12.	Jiao GH, Li XN, Wu B, et al. Case Report: Delayed lung transplantation with intraoperative ECMO support for herbicide intoxication-related irreversible pulmonary fibrosis: strategy and outcome. Front Surg, 2021, 8: 754816.
13.	Kirk AD. When pigs fly. Am J Transplant, 2022, 22(4): 1007-1008.
14.	Burdorf L, Laird CT, Harris DG, et al. Pig-to-baboon lung xenotransplantation: extended survival with targeted genetic modifications and pharmacologic treatments. Am J Transplant, 2022, 22(1): 28-45.

1. Wu B, Hu CX, Chen WH, et al. China lung transplantation developing: past, present and future. Ann Transl Med, 2020, 8(3): 41.
2. Hu CX, Chen WH, He JX, et al. Lung transplantation in China between 2015 and 2018. Chin Med J (Engl), 2019, 132(23): 2783-2789.
3. 王胜飞, 陈静瑜, 刘懿, 等. 双肺移植治疗儿童囊性纤维化的多学科综合诊疗. 器官移植, 2021, 12(2): 184-190.
4. Wu B, Huang M, Jiao GH, et al; China Lung Transplantation Alliance; National Lung Transplantation Expert Group for COVID-19. Lung transplantation during the outbreak of coronavirus disease 2019 in China. J Thorac Cardiovasc Surg, 2022, 163(1): 326-335.e6.
5. Chen JY, Qiao K, Liu F, et al. Lung transplantation as therapeutic option in acute respiratory distress syndrome for coronavirus disease 2019-related pulmonary fibrosis. Chin Med J (Engl), 2020, 133(12): 1390-1396.
6. Reis FPD, Fernandes LM, Abdalla LG, et al. Brazilian initial experience with lung transplantation due to irreversible lung fibrosis post-COVID-19 in a national reference center: a cohort study. Sao Paulo Med J, 2022, 140(1): 153-159.
7. Cypel M, Keshavjee S. When to consider lung transplantation for COVID-19. Lancet Respir Med, 2020, 8(10): 944-9446.
8. Zhang ZR, Ding H, Liu F, et al. Successful bilateral lung transplantation and simultaneous Nuss technique correction of pectus excavatum post-allogeneic haematopoietic stem cell transplantation. Interact Cardiovasc Thorac Surg, 2020, 30(2): 319-320.
9. 黄曼, 高晨阳, 程海峰, 等. 中国首例单肺移植联合冠状动脉旁路移植术及文献复习. 中华器官移植杂志, 2022, 43(3): 172-174.
10. Wang ZT, Jiao GQ, Huang J, et al. Management of Eisenmenger syndrome by cardiac defect closure combined bilateral lung transplantation with intraoperative venoarterial ECMO support. J Card Surg, 2021, 36(4): 1560-1562.
11. Liu F, Hsin MKY, Wu M, et al. Bilateral lobar lung transplantation and a single lung transplantation using lungs from a single organ donor during coronavirus disease 2019 pandemic. Chin Med J (Engl), 2021, 134(17): 2122-2124.
12. Jiao GH, Li XN, Wu B, et al. Case Report: Delayed lung transplantation with intraoperative ECMO support for herbicide intoxication-related irreversible pulmonary fibrosis: strategy and outcome. Front Surg, 2021, 8: 754816.
13. Kirk AD. When pigs fly. Am J Transplant, 2022, 22(4): 1007-1008.
14. Burdorf L, Laird CT, Harris DG, et al. Pig-to-baboon lung xenotransplantation: extended survival with targeted genetic modifications and pharmacologic treatments. Am J Transplant, 2022, 22(1): 28-45.

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