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[Standardized combined pancreas and liver explantation]
M Büsing1, G Köveker, U T Hopt
1Chirurgische Universitätsklinik am Knappschaftskrankenhaus, Ruhr-Universität Bochum.
Insights
Maximizing organ use from single donors is crucial due to shortages. This study presents a novel technique for celiac trunk division and arterial reconstruction during combined liver and pancreas retrieval, improving graft utilization.
Area of Science:
- Transplantation surgery
- Surgical anatomy
- Vascular reconstruction
Context:
- Increasing demand for organ transplants necessitates maximizing organ utilization from each donor.
- Combined liver and pancreas retrieval requires careful consideration of complex vascular anatomy.
- Existing methods may not optimally address anatomical variations encountered during retrieval.
Purpose:
- To describe a new surgical technique for dividing the celiac trunk during combined liver and pancreas allograft retrieval.
- To detail a method for arterial reconstruction based on anatomical variations.
- To enhance the efficiency and success rate of organ procurement for transplantation.
Summary:
- A novel technique involving horizontal division of the celiac trunk is presented for combined liver and pancreas retrieval.
- Subsequent arterial reconstruction is tailored to the specific anatomical situation encountered.
- Vascular division can be performed either in situ or ex situ, accommodating varying donor physiological states.
Impact:
- This technique aims to improve the utilization of organs from single donors, addressing the critical organ shortage.
- It provides surgeons with a flexible approach to manage anatomical variability in celiac trunk and arterial supply.
- Successful implementation can lead to increased availability of viable liver and pancreas allografts for transplantation.
Abstract:
Maximum use of organs from a single donor is mandatory as a result of the current organ shortage. In combined liver and pancreas allograft retrieval, it is vital that one remember the variability in the anatomy of vessels. Based on our experience, we describe a new technique of dividing the celiac trunk horizontally with subsequent arterial reconstruction, depending on the anatomical situation. Vascular division of the grafts can be performed either in situ or in an ex situ fashion in cases where cardiovascular function has deteriorated.