Standardized quick en bloc technique for procurement of cadaveric liver grafts for pediatric liver transplantation.

de Ville de Goyet, J;Reding, Raymond;Hausleithner, V.;Lerut, Jan;Otte, Jean-Bernard
(1995) Transplant international : official journal of the European Society for Organ Transplantation — Vol. 8, n° 4, p. 280-285 (1995)

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Authors
  • de Ville de Goyet, J
    Author
  • Reding, RaymondUCLouvain
    Author
  • Hausleithner, V.
    Author
  • Lerut, JanUCLouvain
    Author
  • Otte, Jean-BernardUCLouvain
    Author
Abstract
This paper describes a quick procedure for cadaveric liver graft retrieval during multiple organ harvesting. The technique is based on minimal preliminary dissection, absence of in situ direct portal perfusion, and en bloc removal of the liver and pancreas, with an aortic patch encompassing the coeliac trunk and superior mesenteric artery. The results of 110 pediatric liver transplantations with 109 organs harvested using this technique are reported. There were no graft harvesting injuries. The liver graft primary nonfunction rate was 4.5% (5/110). The 3-month retransplantation rate was 10%. The actual patient survival rates were 93% at 3 months and 90% at 1 year; actual graft survival rates were 85.5% and 78%, respectively. The technique described was at least as safe as conventional procedures. A major advantage of the procedure is its flexibility, which allows for the easily combined procurement of other organs (whole pancreas and intestine).
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de Ville de Goyet, J., Reding, R., Hausleithner, V., Lerut, J., & Otte, J.-B. (1995). Standardized quick en bloc technique for procurement of cadaveric liver grafts for pediatric liver transplantation. Transplant international : official journal of the European Society for Organ Transplantation, 8(4), 280-285. https://hdl.handle.net/2078.5/137149 (Original work published 1995)