Surgical techniques of organ transplants

Česká verzia

Authors: Jiří Froněk
Authors place of work: Klinika transplantační chirurgie, Transplantcentrum IKEM, Praha
Published in the journal: Čes.-slov. Patol., 51, 2015, No. 4, p. 187-192
Category: Reviews Article

Summary

The list of surgical procedures of solid organ transplantations appears very interesting and colorful, even with overlap among techniques. Liver transplantation is a life-saving procedure in a majority of cases, the liver can be transplanted as a full or partial graft. The liver graft can be split for two recipients; it can also be reduced for a small recipient if splitting is not indicated. Kidney transplantation is the most common solid organ transplant procedure, the majority of kidney grafts come from brain-dead donors whereas the number of live donor transplants is increasing, also thanks to paired donation and blood group incompatible transplantation methods. The small bowel and multivisceral transplantation are rare procedures; they serve selected patients with short bowel syndrome, some patients with retroperitoneal tumors or with extensive visceral thrombosis. Solid organ transplants are well established treatment methods with good and proven outcomes. A majority of patients can return to a normal life after their transplants.

Keywords:
liver transplantation – kidney transplantation – surgery

Zdroje

1. Molmenti EP, Klintmalm GB. Atlas of Liver Transplantation. Saunders, An imprint of Elsevier Science, USA; 2002.

2. Fan ST, Wei WI, Young BH et al. Living Donor Liver Transplantation. World Scientfic Publishing, Singapore; 2011.

3. Mazziotti A, Cavallari A. Techniques in Liver Surgery. Greenwich Medical Media, London, UK; 1997.

4. Kootstra G, van Heurn E. Non-heart beating donation of kidneys for transplantation. Nat Clin Pract Nephrol 2007; 3:154-163.

5. Wadström J, Lindström P. Hand-assisted retroperitoneoscopic living-donor nephrectomy: initial 10 cases. Transplantation 2002; 73: 1839-1841.

6. Chandak P, Kessaris N, Challacombe B, et al. How safe is hand-assisted laparoscopic donor nephrectomy? Results of 200 live donor nephrectomies by two different techniques. Nephrol Dial Transplant 2009; 24: 293–297.

7. Dols LF, Kok NF, Terkivatan T, et al. Optimizing left-sided live kidney donation: hand-assisted retroperitoneoscopic as alternative to standard laparoscopic donor nephrectomy. Transpl Int 2010; 23: 358-363.

8. Dosani T, Olsburgh J, Mustafa N. et al. Keyhole Mini-Open Donor Nephrectomy A Single Institution Experience. American Journal of Transplantation 2007; 7: 489.

9. Wadstrom J, Biglarnia A, Gjertsen H, et al. Introducing Hand-Assisted Retroperitoneoscopic live donor nephrectomy. Learning curves and development based on 413 consecutive cases in four centres. Transplantation 2011; 91: 462-469.

10. Margreiter R, Königsrainer A, Schmid T, et al. Multiple organ procurement--a simple and safe procedure. Transplant Proc 1991; 23: 2307-2308.

11. Brockmann JG, Vaidya A, Reddy S, et al. Retrieval of abdominal organs for transplantation. Br J Surg 2006; 93: 133-146.

12. Baranski A. Surgical technique of abdominal organ procurement. Step by step. Springer-Verlag, London; 2009.