Regional procurement team for abdominal organs

S Signori1, U Boggi, F Vistoli

  • 1Divisione di Chirurgia Generale e Trapianti, Università di Pisa, Pisa, Italy.

Insights

A regional procurement team successfully managed 343 multiorgan procurements, ensuring no grafts were discarded due to injury. This policy highlights efficient organ recovery and transplantation strategies.

Area of Science:

  • Transplantation Surgery
  • Organ Procurement
  • Surgical Policy

Background:

  • Graft shortages necessitate multiorgan procurements.
  • A regional procurement team's 5-year policy is evaluated.
  • The study addresses challenges in organ donation and transplantation.

Purpose of the Study:

  • To evaluate the effectiveness of a regional procurement team policy.
  • To assess the outcomes of multiorgan procurements over a 5-year period.
  • To demonstrate the feasibility of complex organ procurement procedures.

Main Methods:

  • A regional team performed 343 multiorgan procurements.
  • The en bloc harvesting method was utilized for organ recovery.
  • Collaboration with 11 institutions and 40 liver teams was established.

Main Results:

  • 1374 grafts were procured with zero discards due to iatrogenic injuries.
  • Simultaneous procurement and transplantation of liver, pancreas, and small bowel occurred in three cases.
  • Regional teams successfully managed donor procedures, with high acceptance rates from transplant teams.

Conclusions:

  • Regional procurement teams can effectively manage multiorgan procurements.
  • Complex procedures, including en bloc harvesting, are feasible and successful.
  • This policy optimizes organ utilization and transplantation outcomes.
Abstract