Summary

With meticulous surgical technique the experienced transplant surgeon should be able to retrieve any and all of the intra-abdominal organs currently considered for transplantation (liver, kidney, pancreas, intestine). Thorough communication between (potentially many) abdominal organ teams and between the liver and chest teams is critical to ensure optimal organ quality for all teams. Anatomical anomalies forcing sacrifice of one organ in favor of another are rare.

References

1. Rosenthal JT, Shaw BW, Hardesty RL et al. Principles of multiple organ procurement. Ann Surg 1983; 198:617-621.

2. Starzl TE, Hakala TR, Shaw BW et al. A flexible procedure for multiple cadaveric organ procurement. Surg Gynecol Obstet 1984; 158:223-230.

3. Flye MW, Pasque MK, Kaiser LR et al. Multiple organ recovery. In Flye MW, ed. Atlas of organ transplantation. Philadelphia: WB Saunders Company, 1995:47-71.

4. Jordan CA, Snyder. Intensive care and intraoperative management of the brain-dead organ donor. Transplant Proc 1987; 19:21-25,.

5. Van Buren CT, Barakat O. Organ donation and retrieval. Surg Clin North Am 1994; 74:1055-1081.

6. Emre S, Schwartz ME, Miller CM. The donor operation. In Busuttil RW, Klintmalm GB, eds. Transplantation of the liver. Philadelphia: WB Saunders Company, 1996:392-404.

7. Starzl TE, Miller C, Broznick B et al. An improved technique for multiple organ harvesting. Surg Gynecol Obstet 1987; 165:343-348.

8. Suzuki T, Nakayasu A, Kawabe K et al. Surgical significance of anatomic variations of the hepatic artery. Am J Surg 1971; 122:505-512.

9. Gordon RD, Shaw BW, Iwatsuki S et al. A simplified technique for revascu-larization of homografts of the liver with a variant right hepatic artery from the superior mesenteric artery. Surg Gynecol Obstet 1985; 160:474-476.

10. Ackermann JR, Snell ME. Cadaveric renal transplantation: A technique for donor kidney removal. Br J Urol 1968; 40:515-521.

11. Linke CA, Linke CL, Davis RS et al. Cadaver donor nephrectomy. Urology 1975; 6:133-138.

12. Taylor RJ, Rosenthal JT, Hakala TR. Combined cedaveric hepatic and renal organ procurement in infants. Arch Surg 1985; 120:1084-1085.

13. Pollak R, Prusak B, Mozes M. Anatomic abnormalities of cadaver kidneys procured for purposes of transplantation. Am Surg 1986; 233-235.

14. Marsh CL, Perkins JD, Sutherland DER et al. Combined hepatic and pancreati-coduodenal procurement for transplantation. 1989; 168:254-258.

15. Sutherland DER, Moudry KC, Najarian JS. Pancreas transplantation. In: Cerilli GJ, ed. Organ transplantation and replacement. Philadelphia: JB Lippincott Company, 1988:535-574.

16. Bandlien KO, Mittal VK, Toledo-Pereyra LH. Procurement and workbench procedures in preparation of pancreatic allografts. Am Surg 1988; 54:578-58.

17. Margreiter R, Konigsrainer A, Schmid T et al. Multiple organ procurement. Transplant Proc 1991; 23:2307-2308.

18. Starzl TE, Todo S, Tzakis A et al. The many faces of multivisceral transplantation. Surg Gynecol Obstet 1991; 172:335-344.

19. Casavilla A, Selby R, Abu-Elmagd K et al. Logistics and technique for combined hepatic-intestinal retrieval. Ann Surg 1992; 216:605-609.

20. Grant D, Wall W, Mimeault R et al. Successful small-bowel/liver transplantation. Lancet 1990; 335:181-184.

21. Sindhi R, Fox IJ, Heffron T et al. Procurement and preparation of human isolated small intestinal grafts for transplantation. Transplantation 1995; 60:771-773.

22. Todo S, Tzakis AG, Abu-Elmagd et al. Intestinal transplantation in composite visceral grafts or alone. Ann Surg 1992; 216:223-233.

23. Van Buren CT, Barakat O. Organ donation and retrieval. Surg Clin North Am 1994; 74:1055-1081.

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