There is currently a lack of standard kidney-only procurement technique. Known techniques such as kidney-only procurement using the standard multi-organ procurement technique could potentially cause more iatrogenic injuries due to less adequate exposure. An alternative using the live open kidney donation technique could also be less than ideal due to prior unknown anatomical variation and potential the inability to adequately topically cool the kidneys. We describe here a novel easy kidney-only technique leading to an improved exposure, better cold perfusion and topical cooling. Herein we show how total bowel evisceration can be achieved by stapling the hepatic hilum, superior mesenteric artery and coeliac trunk. There is a need of a kidney only procurement in order to increase the quality of deceased kidney donation in our opinion. Results have to be compared in the future to determine the potential benefits.
References
[1]
Baranski, A. (2009) Surgical Technique of the Abdominal Organ Procurement. Springer, Leiden. http://dx.doi.org/10.1007/978-1-84800-251-7
[2]
Starzl, T.E., Miller, C., Broznick, B. and Makowka, L. (1987) An Improved Technique for Multiple Organ Harvesting. Surgery, Gynecology & Obstetrics, 165, 343.
[3]
Starzl, T.E., Hakala, T.R., Shaw Jr., B.W., Hardesty, R.L., Rosenthal, T.J., Griffith, B.P., et al. (1984) A Flexible Procedure for Multiple Cadaveric Organ Procurement. Surgery, Gynecology & Obstetrics, 158, 223.
[4]
Wigmore, S.J., Seeney, F.M., Pleass, H.C., Praseedom, R.K. and Forsythe, J.L. (1999) Kidney Damage during Organ Retrieval: Data from UK National Transplant Database. Kidney Advisory Group. Lancet (London, England), 354, 1143.
http://dx.doi.org/10.1016/S0140-6736(98)09409-4
[5]
Castelo, D., Campos, L., Moreira, P., Furriel, F., Parada, B., Nunes, P., et al. (2013) Does Multiorgan versus Kidney-Only Cadaveric Organ Procurement Affect Graft Outcomes? Transplantation Proceedings, 45, 1248.
http://dx.doi.org/10.1016/j.transproceed.2013.02.026
[6]
Goldsmith, P.J., Ridgway, D.M., Pine, J.K., Speak, G., Newstead, C., Lewington, A.J., et al. (2010) Outcomes Following Renal Transplantation after Multiorgan Retrieval versus Kidney-Only Retrieval in Donation after Cardiac Death Donors. Transplantation Proceedings, 42, 3963. http://dx.doi.org/10.1016/j.transproceed.2010.09.145
[7]
Eschwege, P., Droupy, S., Blanchet, P., Hammoudi, Y., Laassou, K., Hadj, A.E., et al. (2002) Surgical Injuries Occurring During Kidney Procurement Performed by a Renal Transplantation Team. Transplantation Proceedings, 34, 844.
http://dx.doi.org/10.1016/S0041-1345(01)02931-1
[8]
Ausania, F., White, S.A., Pocock, P. and Manas, D.M. (2012) Kidney Damage during Organ Recovery in Donation after Circulatory Death Donors: Data from UK National Transplant Database. American Journal of Transplantation: Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 12, 932.
[9]
Nederlandse Transplantatie Stichting. Uitnamechirurgie. 2015.
