Related Experiment Video
Updated: Dec 23, 2025
12:49
Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
Published on: August 17, 2022
2.4K
Certification Training and Liver Transplant Experience Improves Liver Procurement Outcomes: The Dutch Approach
Hwai-Ding Lam1, Rutger Ploeg1,2,3, Willemijn N Nijboer1,4
1Department of Transplantation Surgery, LUMC Transplant Center, Leiden University Medical Center, Leiden, the Netherlands.
Transplantation
|April 15, 2024
Summary
Certification training in liver procurement surgery reduces graft discard rates and shortens hepatectomy times. Specialized experience is crucial, especially for the master group, highlighting the need for targeted training in deceased donor liver procurement.
Area of Science:
- Transplantation Surgery
- Organ Procurement
- Surgical Training
Background:
- Investigating the influence of certification training and liver transplant experience on deceased donor liver procurement outcomes in the Netherlands.
- Analyzing the impact of surgical expertise on critical metrics in organ recovery.
- Examining factors affecting graft viability and surgical efficiency during liver procurement.
Purpose of the Study:
- To evaluate the effect of certification and experience levels on surgical injury, graft discard, and donor hepatectomy duration.
- To identify predictors for adverse outcomes in deceased donor liver procurement.
- To determine the role of specialized training and experience in optimizing liver transplant procurement.
Main Methods:
- Categorization of surgeons into trainee, certified, and master groups based on procurement training.
- Subdivision of groups based on prior liver transplant experience.
- Analysis of surgical graft injury, post-injury discard rates, and donor hepatectomy duration from 2011 to 2018.
Main Results:
- No significant difference in surgical graft injury rates across experience groups; donation after circulatory death was a predictor.
- Higher discard rates post-injury observed in the master group without transplant experience; male donor sex also a risk factor.
- Shorter hepatectomy durations associated with older donors and experienced certified/master groups; longer durations linked to inexperienced masters and donation after circulatory death.
Conclusions:
- Abdominal organ procurement surgery training and certification correlate with reduced discard rates for injured livers and shorter hepatectomy times.
- The disparity in outcomes between experienced masters with and without liver transplant experience emphasizes the need for specialized training.
- Certification and targeted experience are vital for improving efficiency and reducing graft loss in deceased donor liver procurement.
Related Concept Videos
01:28Kidney Transplant I: Introduction
245
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
245
01:26Kidney Transplant II: Surgical Procedure
222
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
222