Surgical Technique of the Abdominal Organ Procurement

1. Front Matter

   Pages i-xvii

   PDF

2. Transplant Coordinator–Procurement Team: Bilateral Aid and Understanding, Before and During Abdominal Organ Procurement1

   • Andrzej Baranski

   Pages 1-8

3. Preoperative Arrangements for Organ Donation

   • Andrzej Baranski

   Pages 9-20

4. Incision and Exposure

   • Andrzej Baranski

   Pages 21-32

5. Detailed and Thorough Abdominal Organ Inspection

   • Andrzej Baranski

   Pages 33-44

6. Right-Sided Medial Visceral Rotation: The Cattel–Braasch Manoeuvre

   • Andrzej Baranski

   Pages 45-53

7. Infrarenal and Superior Mesenteric Artry Major Vessel Dissection

   • Andrzej Baranski

   Pages 55-64

8. Left Liver Lobe and Supraceliac Aorta

   • Andrzej Baranski

   Pages 65-74

9. Hepatoduodenal Ligament and Biliary Tree

   • Andrzej Baranski

   Pages 75-88

10. Small Bowel

    • Andrzej Baranski

    Pages 89-91

11. Thorax Procurement Team(s)

    • Andrzej Baranski

    Pages 93-96

12. Preparation for Organ Perfusion

    • Andrzej Baranski

    Pages 97-102

13. Major Abdominal Vessel Cannulation

    • Andrzej Baranski

    Pages 103-109

14. Cold Perfusion

    • Andrzej Baranski

    Pages 111-118

15. Thoracic Organ Procurement

    • Andrzej Baranski

    Pages 119-123

16. Sequence of Abdominal Organ Procurement

    • Andrzej Baranski

    Pages 125-184

17. The Tool-Kit

    • Andrzej Baranski

    Pages 185-188

18. Organ Packing

    • Andrzej Baranski

    Pages 189-194

19. Post-Procurement Care of the Donor Body

    • Andrzej Baranski

    Pages 195-198

20. Operative Report and the Quality Forms

    • Andrzej Baranski

    Pages 199-202

The intention of this book is to promote a surgical technique of abdominal organ procurement in order to avoid organ damage and thus enhance the quality of retrieved organs. Organ procurement from a brain death donor is an essential part of organ tra- plantation. In donors where more than one organ is removed, the surgical procedure is critically important and could be challenging both for the procurement and recipient surgeons. Surgical injury or inadequate preservation of organs at this stage may cause irreversible organ damage or can lead to serious complications in the recipient. Nowadays, local or regional surgical teams, whereby the transplant surgeon is not always one of the team members, perform most multiorgan donor (MOD) procurement procedures. To trust each other and to avoid surgical mistakes, a- quate training and standardization of the surgical techniques is required. Teaching and training future procurement surgeons to adopt a standard operating procedure could be the right way to prevent technical mistakes and damage during abdominal multiorgan procurement. I hope that in the near future, every transplant surgeon involved in organ procurement will have to be certified. The different national and international transplant organi- tions in Europe have been already started to establish the teaching programs, which will lead to high expertise in the field of abdominal organ procurement.

• Donor
• Retrieval
• Transplant
• liver
• organ
• organ transplantation
• surgery
• transplantation

Dr Andrzej G. Baranski is a Transplant Surgeon at the Department of Surgery and Organ Transplantation, Leiden University Medical School, Leiden, The Netherlands. He has performed more than 500 organ harvesting procedures in more than six European countries. Through national and international courses, he has taught the surgical technique of abdominal organ donation to more than 100 people. In his ward, he has trained more than 10 surgeons in organ procurement and transplantation, two of whom have become completely independent procurement and transplant surgeons. He has been running popular national yearly courses in The Netherlands since 2000. The European Donor Surgery Masterclass (EDSM) together with ESOT remains very popular with Surgeons and Surgical Fellows. Each time, the demand to register is three times higher than available places.

He has edited the "Abdominal Multi Organ Donation Procedure" CD ROM which is still very popular in Europe and other countries (printed in more than 5000 copies- supported by unrestricted grant of Fujisawa Gmbh and now Astellas).

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