Preparation of the pancreas allograft for transplantation

Meticulous preparation of the allograft on the back bench is one of the cornerstones of technically successful whole-organ pancreas transplantation. With evolving surgical approaches for organ retrieval and implantation, it has become routine to procure the pancreas in conjunction with other abdominal organs without sacrificing vasculature or graft quality and without compromising excellent outcomes. This review article summarizes the major steps required for proper back table preparation of the pancreas allograft with suggestions and tips whenever alternative approaches are presented.