Liver Transplantation
Fig. 7.1 All aspects of the liver are carefully inspected 2. Beginning with the posterior aspect of the liver, the retrohepatic IVC (broken blue line) is visualized, and excess…
Fig. 7.1 All aspects of the liver are carefully inspected 2. Beginning with the posterior aspect of the liver, the retrohepatic IVC (broken blue line) is visualized, and excess…
Fig. 3.1 Incisions for a radiocephalic fistula: vertical (black arrow) or over the anatomic snuff box (grey arrow) The incision is carried through the subcutaneous tissue, and then medial and…
Fig. 6.1 A pancreas suitable for transplantation Fig. 6.2 A pancreas not suitable for transplantation 2. Splenectomy should be performed by dividing the splenic artery (red arrow) and vein…
Fig. 5.1 The kidney is oriented in its anatomic position to allow for careful inspection of the renal artery (red arrow), the renal vein (blue arrow), the ureter, and the…
Fig. 10.1 Dissection continues to the level of the confluence of the left and middle hepatic veins on the left side of the vena cava 10.2.2 Anhepatic Phase The anhepatic…
Fig. 8.1 The aorta and inferior vena cava are exposed behind the intestinal mesentery 2. The ligament of Treitz is broadly mobilized from the retroperitoneum and aorta, mobilizing the…
Parameter Study Criteria for donation Renal function 99m Tc-DTPA scintigraphy GFR >80 mL/min/1.73 m2 and GFR >5th percentile for their age Proteinuria Spot urine (U) protein, albumin, creatinine U protein/U…
Fig. 1.1 Donor incision in the midline from the sternal notch to the pubis, with a cruciate extension at the level of the umbilicus Fig. 1.2 The abdominal flaps are…
Fig. 9.1 The lesser sac is entered by dividing the greater omentum between the stomach and the transverse colon. The short gastric vessels are ligated and divided (dashed black line)…
Fig. 2.1 Cholangiogram depicting ischemic cholangiopathy in a donation after cardiac death (DCD) liver transplant Of note, some single-center experiences with controlled-DCD liver transplants reveal excellent outcomes, comparable to DBD…