Organ donation and allocationMultivisceral Harvest With In Vivo Technique: Methods and Results
Section snippets
Patients and methods
Careful selection of the donor was performed with the utmost attention paid particularly to body weight and residual abdominal cavity of the recipient. If judged suitable, the donor underwent selective bowel decontamination following our protocol, as described elsewhere.1, 2 Most donors were under 30 years of age, died for cerebrovascular accident, were hemodynamically stable, had minimal or no vasoactive amine support. After laparotomy, we carefully evaluated the liver and the bowel. If there
Results
From February 2001 to November 2004, we performed nine multivisceral harvests. We evaluated a larger number of donors for this purpose but, for the reasons described we aborted the procedure when any doubt was present concerning the donor. If accessory right or left branches to the liver (from SMA or left gastric artery) were present in cases of multivisceral harvests without the liver, we left the donor for the liver team. We harvested four multivisceral grafts without the liver and five
Discussion
The in vivo technique allows a shorter ischemia time compared to an en block retrieval followed by prolonged, tedious back table dissection. There is minimal postreperfusion bleeding and reduced production of lymphatic ascites, the other landmarks of this technique. Our preliminary results on a small sample of patients seem to show that the in vivo technique is feasible without jeopardizing organ function.
References (5)
- et al.
Outcome of isolated small bowel and pancreas transplants retrieved from multiorgan donorthe in vivo technique
Transplant Proc
(2004) - et al.
Procurement technique for isolated small bowel, pancreas, and liver from multiorgan cadaveric donor
Transplant Proc
(2002)
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