Abdominal Organ Retrieval and Transplantation Bench Surgery

Abdominal Organ Retrieval and Transplantation Bench Surgery......Page 5
Copyright......Page 6
Contents......Page 7
List of Contributors......Page 8
Foreword......Page 9
Preface......Page 10
About the Companion Website......Page 11
Donation after brain death (DBD)......Page 13
Evolution of organ donation and the legal framework governing organ donation......Page 14
Donor coordinators......Page 15
Organ retrieval teams......Page 16
Transplant units......Page 17
Allocation of deceased donor organs for transplantation......Page 19
References......Page 20
Introduction......Page 21
A touch of preservation history......Page 22
Neutralize the formation of reactive oxygen species......Page 24
Interstitial and cellular oedema......Page 25
The static cold storage method of organ preservation......Page 26
Machine perfusion revisited: a renaissance in preservation?......Page 28
Practical consequences to consider during retrieval......Page 31
A brief outlook on future practice......Page 32
References......Page 34
Organ damage......Page 36
Standardization and wider application......Page 37
Initial assessment and management......Page 38
Cardiovascular management......Page 39
Hormonal changes......Page 40
Physiological support in the operating theatre......Page 41
References......Page 42
Retrieval logistics......Page 44
Technical variations......Page 45
Retrieval technique......Page 47
In situ perfusion......Page 64
Bench perfusion......Page 65
Separation of the liver–ancreas block......Page 66
Packing of organs......Page 67
References......Page 68
Awareness of common injuries......Page 70
Atheroma......Page 71
Procedure......Page 72
Immediate bench check......Page 75
Polar artery cut/patch removed from artery of an aortic patch......Page 76
Ureter cut short or ‘skinned’......Page 77
Bench surgery for the kidney......Page 78
Vein......Page 80
Artery......Page 81
Donation after cardiac death and kidney retrieval......Page 83
References......Page 84
Liver assessment......Page 85
Technical aspects of liver retrieval......Page 86
Variant arterial anatomy scenarios and solutions......Page 92
Donor information......Page 94
Liver assessment......Page 95
Preparation for implantation......Page 96
Dissection of the portal vein......Page 97
References......Page 101
Controlled DCD......Page 103
Normothermic regional perfusion (NRP)......Page 107
Retrieval procedure technique......Page 109
Assessment of DCD liver grafts......Page 110
References......Page 111
Donor and recipient evaluation......Page 113
Surgical techniques......Page 114
Bench preparation to separate into the left and right lobe......Page 120
References......Page 126
Recipient selection......Page 128
Technique of the ex situ left lateral split procedure......Page 129
Anatomy......Page 130
Surgical technique of left lateral ex situ split......Page 131
Hilar dissection......Page 135
Outcome of split liver recipients......Page 137
Outcome of full right–full left split liver transplantation......Page 138
References......Page 140
Organ procurement......Page 142
Donor procedure......Page 143
Reconstruction of arterial supply......Page 148
Peripancreatic tissue......Page 149
Islet transplantation......Page 150
References......Page 151
Intestine donor selection......Page 152
Isolated intestine grafts (ISO-INT)......Page 153
Liver–intestine grafts (LIV-INT)......Page 162
Bench reconstruction......Page 164
Bench reconstruction......Page 165
References......Page 166
Donor selection for pediatric solid organ transplantation......Page 167
Donor to recipient age ratio......Page 168
Organ-specific donor criteria......Page 169
Relevant aspects for organ procurement and techniques......Page 170
Whole liver en bloc retrieval......Page 171
Kidneys......Page 181
Liver......Page 182
References......Page 187
Index......Page 189