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Logistics and technique for procurement of intestinal, pancreatic, and hepatic grafts from the same donor

Abu-Elmagd, K and Fung, J and Bueno, J and Martin, D and Madariaga, JR and Mazariegos, G and Bond, G and Molmenti, E and Corry, RJ and Starzl, TE and Reyes, J (2000) Logistics and technique for procurement of intestinal, pancreatic, and hepatic grafts from the same donor. Annals of Surgery, 232 (5). 680 - 687. ISSN 0003-4932

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Abstract

Objective. To assess a technique for simultaneous recovery of the intestine, pancreas, and liver from the same donor. Summary Background Data. With the more frequent use of pancreatic and intestinal transplantation, a procurement procedure is needed that permits retrieval of both organs as well as the liver from the same cadaveric donor for transplantation to different recipients. It is believed by many procurement officers and surgeons, however, that this objective is not technically feasible. Methods. A technique for simultaneous recovery of the intestine, pancreas, and liver was used in 13 multiorgan cadaver donors during a 26-month period, with transplantation of the organs to 33 recipients. The intestine was removed from 11 donors separately and in continuity with the pancreas in the other 2. Six additional pancreases were excised and transplanted separately. Thirteen livers were retrieved, one of which was discarded because of steahorrhea. Ten of the remaining 12 livers were transplanted intact; the other 2 were split in situ and used as reduced-size hepatic allografts in four recipients. Results None of the 11 intestinal, 6 pancreatic, 2 intestinal-pancreatic, or 14 whole or partial liver allografts sustained serious ischemic injury or were lost as a result of technical complications. One liver recipient died 25 months after surgery of recurrent C virus hepatitis. The other 32 recipients had adequate allograft function with a mean follow-up of 8 months. Conclusion. It was possible using the described technique to retrieve intestine, pancreas, and liver allografts safely from the same donor and to transplant these organs to different recipients.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Abu-Elmagd, K
Fung, J
Bueno, J
Martin, D
Madariaga, JR
Mazariegos, G
Bond, G
Molmenti, E
Corry, RJ
Starzl, TEtes11@pitt.eduTES11
Reyes, J
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 9 November 2000
Date Type: Publication
Journal or Publication Title: Annals of Surgery
Volume: 232
Number: 5
Page Range: 680 - 687
DOI or Unique Handle: 10.1097/00000658-200011000-00010
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0003-4932
Other ID: uls-drl:31735062120534, Starzl CV No. 2147
Date Deposited: 08 Apr 2010 17:36
Last Modified: 15 Oct 2017 09:55
URI: http://d-scholarship.pitt.edu/id/eprint/5533

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