[Experiences with the en bloc multiorgan procurement technique]

Area of Science:

• Surgical Techniques
• Transplantation Medicine
• Organ Donation

Background:

• Optimizing organ utilization is crucial for transplantation success.
• Rapid multiorgan retrieval techniques are vital, particularly for hemodynamically unstable donors.

Purpose of the Study:

• To evaluate the advantages and outcomes of the Total Abdominal Evisceration (TAE) technique for multiorgan retrieval.
• To assess the clinical experience with TAE over a 2-year period.

Main Methods:

• A prospective, non-controlled study involving 34 multiorgan retrievals using the Total Abdominal Evisceration (TAE) technique.
• Data collected included donor demographics, surgical times, anatomical variations, and organ outcomes.

Main Results:

• The TAE technique facilitated efficient organ harvesting with dissection and bloc retrieval times of 35±10 min and 20±8 min, respectively.
• Anatomical variations were detected in 46.9% of cases.
• Over 70% of retrieved livers showed minimal preservation injury, with only one case of primary non-function linked to donor instability.

Conclusions:

• The Total Abdominal Evisceration (TAE) technique is effective for multiorgan retrieval, yielding organs with favorable preservation.
• TAE offers a viable alternative for organ procurement, especially when managing hemodynamically unstable donors.