Donor Procurement

It is important for all procurement teams to work closely in coordinating their various roles in the procurement process. The small bowel team must work most closely with those teams that are procuring other intra-abdominal organs. Prior to initiating the procurement there must be an agreement as to where the portal vein, or superior mesenteric vein will be divided. If no pancreas is being procured, then the portal vein is usually divided at least 2 centimeters superior to the splenic vein take off. If the pancreas is going to be used then the superior mesenteric vein must be taken immediately below the uncinate process. With regards to the artery, if the pancreas is not being used then typically the entire superior mesenteric artery will be taken along with a long tube of adjoining aorta extending up into the chest, to provide additional length for the artery should it be necessary. If this is done, great care must be taken in preserving a small Carrel patch at the origin of the celiac artery for the liver procurement team, if requested. If the pancreas is

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