MULTIORGAN PROCUREMENT FOR TRANSPLANTATION. A GUIDE TO SURGICAL TECHNIQUE AND MANAGEMENT

• PART 1 Expanding the donor pool and evaluation of the possible organ donor.
1. Ethics of organ donation.
2. Policies for boosting donor enlistment in the North Italy transplant program macroarea.
3. Preoperative evaluation and arrangements for multi-organ donation: general principles and contra-indications.
• PART 2 Principles of brain death diagnosis and optimal management for organ retrieval.
4. Brain death diagnosis.
5. Spinal reflexes and movements in brain death donors.
6. Management of metabolic and hemodynamic derangements in heart beating donors.
7. Non-heart-beating donors.
8. Multiple organ retrieval: general principles, organ preservation, and new strategies.
• PART 3 Surgical technique for thoracic organ procurement.
9. Thoracic and mediastinal inspection and heart procurement.
10. Lung and heart-lung procurement.
• PART 4 Surgical technique for abdominal organ procurement.
11. Detailed abdominal organ inspection and early surgical steps for abdominal organ procurement.
12. Whole liver procurement.
13. Split liver: surgical technique for adult-paediatric and for two adult recipients.
14. Small bowel and multivisceral procurement.
15. Pancreas Procurement.
16. Kidney procurement.
17. Vascular Homograft Procurement.
18. Transplantation bench surgery of the abdominal organs.
• PART 5 Surgical technique for liver and kidney living donor.
19. Right liver lobe hemi-hepatecomy for living donor liver transplantation.
20. Pure laparoscopic left lateral and full-left hepatectomy including the middle hepatic vein in living donors.
21. Total laparoscopic right hepatecomy for living donors.
22. Laparoscopic and robot-assisted nephrectomy.

This well-illustrated handbook provides answers to important questions that may arise during the retrieval of multiple organs for transplantation and offers step-by-step descriptions of current surgical techniques for procurement of the various thoracic and abdominal organs, including heart, lung, liver, intestine, pancreas, and kidney. The coverage includes detailed instruction on liver splitting techniques and on living donor liver hepatectomies and laparoscopic and robot-assisted nephrectomy for transplantation. In addition, guidance is provided on preoperative evaluation for multiorgan donation, contraindications, management for organ retrieval in deceased donors, and organ preservation. The advice offered and the questions addressed will be of relevance not only to transplant surgeons, trainees, and fellows but also to all other professionals involved in organ transplantation, including nursing staff in intensive care units and emergency rooms.

Features
• Describes surgical techniques step by step
• Provides answers to key questions
• Includes many original illustrations and schematic drawings
• Covers liver-splitting techniques and living donor liver donation in detail

Authors
• Paolo Aseni, after his degree in Medicine at the University of Milan in 1975, trained abroad in different centers in Germany and France: at the Medizinische Hochshule in Hannover in 1978, then at the Chirurgischen Zentrum in Munchen (1979), at the Uniklinik in Köln in the same year, at the Hopital Beaujon in Paris in 1980 and at the Centre Hépato-Biliaire Paul Brousse a Villejuif in 1986. Since 1980 he’s been working at the General and Transplantation Surgical Center at Niguarda Hospital in Milan, where he is currently Associate Surgeon and Responsible for the surgical training. Since 1989 he’s been Assistant Professor for Anatomy and Human Macroscopic Morphology University of Medicine, Milan.
• Antonino M. Grande got his degree in Medicine in 1980 and trained abroad at the Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, U.S.A. from 1982 to 1984. Since 1986 he is been working at the IRCCS Fondazione IRCCS Policlinico San Matteo in Pavia, Italy, in the Cardiac Surgery – Transplant Department. Between 2000 and 2010 he’s been teaching Surgical Anatomy at the University of Pavia. Dr Grande’s main clinical interests include heart failure, heart, heart-lung and lung transplantations, pulmonary hypertension and mechanical circulatory support.
• Luciano De Carlis got his degree in Milan in 1979 and trained as visiting fellow at the Transplant Surgery Center in Pittsburgh (USA) from 1984 to 1987 and again in 1988, studying particular aspects in the field of liver, kidney, pancreas, transplantation and hepatobiliary and pancreatic surgery. Another important experience abroad, this time as visiting professor, was at the University of Tokyo in 2001. Prof. De Carlis has been working since 1983 at the Niguarda Hospital in Milan, specializing in particular in the field of renal, pancreas and liver transplantation as well as in hepatobiliary surgery. He is currently Director of the Niguarda Transpalnt Center at the Niguarda Hospital, where he introduced the first adult living donor liver transplantation program in Italy.