土耳其和地区的移植

M. Haberal
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摘要

文章提供了洞察在土耳其和地区的器官移植历史上的重大里程碑。1975年,我们在土耳其率先进行了活体亲属肾移植,并于1978年使用欧洲移植公司提供的器官进行了死者供体肾移植。1979年,颁布了关于器官和组织的采集、储存、移植和移植的法律。我们的团队于1979年实施了第一例本地已故供者肾移植手术。1988年,我们的团队完成了第一例成功的已故供体肝脏移植手术,这在土耳其、中东和北非都是开创性的手术。1990年,我们不仅在土耳其,而且在中东地区和欧洲率先开展了儿童活体肝移植手术。一个月后,在器官移植史上首次成功进行了成人对成人活体肝移植(左肝)。1992年5月16日,我们进行了第一例来自活体亲属供体的肝肾联合移植手术,这是世界上第一例此类手术。1975年11月至2021年10月,我们在Hacettepe大学医院进行了3256例肾脏移植手术。自1988年至今,我们在巴斯肯特大学进行了695例肝脏移植手术。根据卫生部的登记,从2002年到2021年,全国共进行了46,115例肾脏移植,相比之下,肝脏移植为17,868例,心脏移植为1,153例,胰腺移植为198例。2001年,卫生部建立了国家协调中心,作为一个伞形组织,促进移植活动,特别是获取死者供体器官。尽管全国活体供体移植的总体比例在不断提高,但总体死亡供体移植比例仍远低于预期水平。
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Transplantation in Turkey and region
The article provides insight into significant milestones in the history of organ transplantation in Turkey and region. In 1975, we were the first in Turkey to perform living‑related kidney transplantation and, in 1978, deceased‑donor kidney transplantation, using an organ supplied by Eurotransplant. In 1979, the law on harvesting, storage, grafting, and transplantation of organs and tissues was enacted. The first local deceased‑donor kidney transplantation was performed by our team in 1979. The first successful deceased‑donor liver transplantation, which was a groundbreaking surgery procedure for Turkey, the Middle East and Northern Africa, was carried out by our team in 1988. In 1990, we were the first not only in Turkey but also in the Middle East region as well as Europe to perform pediatric living‑related segmental liver transplantation. One month later, an adult‑to‑adult living‑related liver transplant (a left lobe) was successfully performed for the first time in the history of organ transplantation. On May 16, 1992, we carried out the first combined liver‑kidney transplantation from a living‑related donor, which was the first operation of its kind in the world. Between November 1975 and October 2021, we performed 3,256 kidney transplantations at Hacettepe University Hospitals  . Since 1988 to date, we have carried out 695 liver transplantations at Baskent University. According to the registry of the Ministry of Health, from 2002 to 2021, 46,115 kidney transplants were performed nationwide, as compared with 17,868 liver transplants, 1,153 heart transplants and 198 pancreas transplants. In 2001, the Ministry of Health established the National Coordination Center as an umbrella organization to promote transplantation activities, especially deceased‑donor organ procurement. Despite constantly increasing overall living‑donor transplant rate across the country, overall deceased‑donor transplant rate is still far below the desired level.  
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