How to build a good lung transplantation team and improve the quality of lung transplantation The core team of lung transplantation includes organprocurementorganization (OPO) coordinator, donor acquisition group, donor evaluation and repair group, recipient surgery group, extracorporeal perfusion group, perioperative management group, respiratory rehabilitation group, psychological rehabilitation group and social working group for follow-up. 1. The OPO coordinator coordinates the maintenance of the donor lung, makes the assessment, and obtains the lung from the source until the final transfer to the hospital by civil aviation, high-speed or high-speed rail. 2. The donor retrieval team is responsible for the on-site assessment of the quality of the donor lung at the source and the surgical acquisition of the donor; the donor retrieval team must have 1-2 sets of shifts on standby, 24 hours a day, year-round, so that once the lung source is available, they can leave at any time to maintain and obtain the donor lung tissue, and then transfer the lung The lung tissue is then transferred to the local area in a safe and efficient manner. The lung extraction team physicians must be senior doctors with extensive surgical experience to ensure the integrity and safety of donor lung acquisition. The donor evaluation and repair team is responsible for re-evaluation and trimming of the donor after arrival in the operating room, and reconditioning of the donor with normothermic ex vivo lung perfusion (EVLP) if necessary. Most of the current donors are donors from brain-dead patients, and donor lung tissue needs to be re-evaluated and trimmed before transplantation can be performed. 4. The surgical team is responsible for the removal of the autologous lung and the implantation of the donor; the surgeon must be experienced, and the removal of the autologous lung itself is challenging, as many patients have end-stage lung disease, poor physical condition, poor lung quality, and dense adhesions in the chest cavity, so the removal of their own lung tissue is a challenge in itself, and must be done in a quality and quantity manner, without massive bleeding, in order to safeguard the donor for later transplantation The removal of the own lung tissue is a challenge in itself, and must be done in a quality and quantity way, without a lot of bleeding, in order to secure the donor for the later transplantation. The anesthesiologist and the extracorporeal perfusion team are responsible for the maintenance of extracorporeal circulation (cardiopulmonarybypass, CPB) and extracorporeal membrane oxygenation (ECMO); 6. 7. The follow-up social working group is responsible for the follow-up of patients after discharge, and adjusting the dosage of anti-rejection drugs according to the blood concentration; post-transplant patients face many follow-up problems during the recovery process, including post-operative symptoms, application of post-operative rejection drugs and detection of blood concentration, and re-hospitalization for suspected acute rejection after surgery. 8. The psychological rehabilitation group is responsible for the assessment and treatment of patients’ perioperative psychological status Many lung transplant patients will have different degrees of psychological problems after surgery, including the psychological adaptation to the transplanted organ and the psychological problems related to the application of a large number of anti-rejection drugs due to these psychological problems, which require professional staff to provide guidance.