Abdominal Organ Retrieval and Transplantation Bench Surgery -- Copyright -- Contents -- List of Contributors -- Foreword -- Preface -- About the Companion Website -- 1 Organ Retrieval Logistics -- Introduction -- Diagnosis of death - DBD and DCD donation -- Donation after brain death (DBD) -- Death following cessation of cardiorespiratory function - DCD donation -- Evolution of organ donation and the legal framework governing organ donation -- Organ retrieval teams and organ transplantation units -- Donor coordinators -- Organ retrieval teams -- Transplant units -- Patient selection for transplantation and allocation of deceased donor organs for transplantation -- Patient selection -- Allocation of deceased donor organs for transplantation -- References -- 2 Strategies in Preservation of Abdominal Organs -- Introduction -- A touch of preservation history -- Donor related organ injury -- Some basic principles in organ preservation -- Induction of hypothermia -- Prevention of oedema -- Prevention of acidosis -- Neutralize the formation of reactive oxygen species -- Hypothermia is still a key factor -- Interstitial and cellular oedema -- Cellular acidosis -- Formation of oxygen free radicals -- Preservation solutions -- The static cold storage method of organ preservation -- Machine perfusion revisited: a renaissance in preservation? -- Practical consequences to consider during retrieval -- Packaging of donor organs -- A brief outlook on future practice -- References -- 3 Management of the Brainstem Dead Organ Donor -- Physiological changes associated with brainstem death -- Organ damage -- Clinical management and use of guidelines -- Early guidelines -- Standardization and wider application -- A practical approach to brainstem dead donor management -- Initial assessment and management -- Respiratory management -- Cardiovascular management.

Hormonal changes -- Fluid and electrolyte management -- Blood and coagulation -- Physiological support in the operating theatre -- Implementation and outcomes -- Future research and development of guidelines -- References -- 4 Multiorgan Retrieval -- Introduction -- Retrieval team -- Retrieval logistics -- Pre-retrieval checks -- Multiorgan retrieval technique in DBD donors -- Technical variations -- Retrieval technique -- Perfusion fluids -- In situ perfusion -- Bench perfusion -- Bench surgery -- Separation of the liver-ancreas block -- Kidney bench surgery -- Packing of organs -- Paperwork and documentation -- References -- 5 Kidney Retrieval and Bench Surgery -- General principles and logistics -- Access -- Anatomical variations -- Awareness of common injuries -- Atheroma -- Avulsion -- Procedure -- Immediate bench check -- Special considerations with kidney retrieval -- Removal of peri-renal fat -- Rewarming -- Most common forms of damage following kidney retrieval -- Polar artery cut/patch removed from artery of an aortic patch -- Capsular damage -- Rewarming of kidney -- Ureter cut short or 'skinned' -- Bench surgery for the kidney -- Dealing with common bench surgery problems -- Capsule -- Vein -- Artery -- Ureter -- Pre-implantation biopsy -- Donation after cardiac death and kidney retrieval -- References -- 6 Liver Retrieval and Bench Surgery -- Liver retrieval -- Donor information -- Liver assessment -- Technical aspects of liver retrieval -- Variant arterial anatomy scenarios and solutions -- Bench surgery -- Donor information -- Set-up for bench surgery -- Liver assessment -- Preparation for implantation -- Dissection of the portal vein -- References -- 7 Deceased Cardiac Donor Liver Retrieval -- Introduction -- Controlled DCD -- Liver, pancreas and kidney -- Liver and lungs -- Normothermic regional perfusion (NRP).

Bench perfusion and packing -- Uncontrolled DCD -- Retrieval procedure technique -- Preservation solutions -- Assessment of DCD liver grafts -- References -- 8 In situ Liver Splitting -- Introduction -- Donor and recipient evaluation -- Surgical techniques -- Bench preparation to separate into the left and right lobe -- References -- 9 Ex situ Liver Splitting -- Introduction -- Selection of the deceased donor -- Recipient selection -- Left lateral liver graft -- Extended right liver graft -- Full right and full left hemiliver grafts -- Technique of the ex situ left lateral split procedure -- Quality -- Anatomy -- Surgical technique of left lateral ex situ split -- Technique of the ex situ full left-full right split procedure -- Hilar dissection -- Outcome of split liver recipients -- Outcome of extended right liver grafts -- Outcome of full right-full left split liver transplantation -- References -- 10 Pancreas Retrieval and Bench Surgery -- Background -- Organ procurement -- Medical background -- Donor procedure -- Organ preservation -- Bench surgery -- Reconstruction of arterial supply -- Preparation of the duodenum -- Peripancreatic tissue -- Root of the mesentery -- Islet transplantation -- References -- 11 Intestinal Retrieval and Bench Surgery -- Introduction -- Intestine donor selection -- Intestine donor preparation -- Isolated intestine grafts (ISO-INT) -- Bench reconstruction -- Liver-intestine grafts (LIV-INT) -- Bench reconstruction -- Multivisceral grafts (MVT) -- Bench reconstruction -- References -- 12 Pediatric Age-Specific Aspects of Retrieval and Bench Surgery -- Introduction -- Donor selection for pediatric solid organ transplantation -- Donor to recipient weight ratio -- Donor to recipient age ratio -- Organ-specific donor criteria -- Relevant aspects for organ procurement and techniques -- Technical aspects.

Whole liver en bloc retrieval -- Relevant aspects for bench procedures -- Kidneys -- Liver -- References -- Index.