© 2016

Multiorgan Procurement for Transplantation

  • Paolo Aseni
  • Antonino M. Grande
  • Luciano De Carlis


  • 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


Table of contents

  1. Front Matter
    Pages i-xv
  2. Expanding the Donor Pool and Evaluation of the Possible Organ Donor

    1. Front Matter
      Pages 1-1
    2. Antonino M. Grande, Paolo Aseni
      Pages 3-9
    3. Tullia Maria De Feo, Massimo Cardillo, Nicola De Fazio, Giuseppe Piccolo
      Pages 11-18
  3. Principles of Brain Death Diagnosis and Optimal Management for Organ Retrieval

    1. Front Matter
      Pages 35-35
    2. Antonino M. Grande, Paolo Aseni
      Pages 37-45
    3. Antonino M. Grande
      Pages 47-52
    4. Antonino M. Grande, Carlo Pellegrini
      Pages 69-77
    5. Riccardo De Carlis, Raffaella Sguinzi, Antonino M. Grande, Paolo Aseni
      Pages 79-90
  4. Surgical Technique for Thoracic Organ Procurement

    1. Front Matter
      Pages 91-91
    2. Antonino M. Grande
      Pages 101-108
  5. Surgical Technique for Abdominal Organ Procurement

    1. Front Matter
      Pages 109-109
    2. Paolo Aseni, Anna Mariani, Riccardo De Carlis, Vincenzo Emanuele Buscemi, Giacomo Concone
      Pages 111-122
    3. Paolo Aseni, Anna Mariani, Fabio Ferla, Matteo Tripepi, Vincenzo Pirotta
      Pages 123-130
    4. Paolo Aseni, Raffaella Sguinzi, Riccardo De Carlis, Alessandro Giacomoni, Iacopo Mangoni, Luciano De Carlis
      Pages 131-155
    5. F. Di Benedetto, G. Tarantino
      Pages 157-164
    6. Silvio Nadalin, Ivan Capobianco, Stefan Hulik
      Pages 165-182

About this book


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. 


living donor kidney transplantation living donor liver transplantation multiple organ retrieval non-heart-beating donor organ donation organ procurement organ transplantation split liver surgical technique lung donor heart donor donor management ethics in organ donation

Editors and affiliations

  • Paolo Aseni
    • 1
  • Antonino M. Grande
    • 2
  • Luciano De Carlis
    • 3
  1. 1.Department of SurgeryAbdo Trans Trans Ctr Nig Ca' Granda HospMilanItaly
  2. 2.IRCCS Fondazione PoliclinicoDep Cardiac Sur and Heart Lung Trans CtrPaviaItaly
  3. 3.Department of SurgeryAbdo Trans Trans Ctr Nig Ca' Granda HospMilanItaly

About the editors

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 and in Zentrum für Experimentelle Medizin in München in 1978, then in the next years, at the Hôpital Beaujon in Paris and in Hôpital Paul Brousse in Villejuif. Since 1980, he has been working at the Department of Surgery and Transplant Center in Niguarda Hospital in Milan, Italy. He is currently Associate Surgeon and responsible for the surgical training in Medicina d’Urgenza – Emergency Department in the same hospital. Since 1989, he has been also Assistant Professor for Anatomy and Human Macroscopic Morphology, University of Medicine, Milan.

Antonino M. Grande earned his degree in Medicine at the University of Pavia (Italy) in 1980. He trained abroad at the Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, USA, from 1982 to 1984 and then in Marseille (France). Since 1986, he has been working as attending surgeon at the IRCCS Fondazione Policlinico San Matteo in Pavia, Italy, in the Cardiac Surgery – Heart and Lung Transplant Department. Dr. Grande has also over 25 years of experience in cardiovascular postoperative intensive care; his main clinical interests include heart failure, heart/lung transplantations, and mechanical circulatory support. Between 2000 and 2010, he has been Assistant Professor for Surgical Anatomy at the University of Pavia.

Luciano De Carlis got his degree in Milan in 1979 and trained as visiting fellow at the Transplant Surgery Center in Pittsburgh (USA) in 1984, in 1987, and again in 1988, studying particular aspects in the field of liver, kidney, pancreas, heart, and heart-lung transplantation. Another important experience abroad, this time as visiting professor, was at the University of Tokyo in 2001. Prof. De Carlis has been working since 1985 at the Niguarda Hospital in Milan, Italy, specializing in particular in the field of renal, hepatic, and pancreatic transplantation. He is currently Professor of Surgery at the University of Milano-Bicocca School of Medicine, and Director of the Department of Surgery and Transplant Center at the Niguarda Hospital in Milan, where he introduced the fi rst adult living donor liver transplantation program in Italy and, recently, the fi rst Italian liver transplant program from “donation after cardiac death”.

Bibliographic information

  • Book Title Multiorgan Procurement for Transplantation
  • Editors Paolo Aseni
    Antonino Grande
    Luciano De Carlis
  • DOI
  • Copyright Information Springer International Publishing Switzerland 2016
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-28414-9
  • Softcover ISBN 978-3-319-80349-4
  • eBook ISBN 978-3-319-28416-3
  • Edition Number 1
  • Number of Pages XV, 264
  • Number of Illustrations 127 b/w illustrations, 13 illustrations in colour
  • Topics Transplant Surgery
    Thoracic Surgery
    Abdominal Surgery
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Surgery & Anesthesiology


“The purpose is to provide a step‐by‐step description of organ procurement. This is a worthy goal because the major textbook of transplantation has a rather outdated and very concise review of organ donation. The book does a good job of reviewing the entire process from donor evaluation, to ethical concerns, to technical aspects of the procedure, to organ preservation solutions. This is probably more meaningful for physician assistants and residents/fellows. … The pictures are excellent.” (Krishna G. Putchakayala, Doody's Book Reviews, June, 2016)

“This book, “Multiorgan Procurement for Transplantation. A Guide to Surgical Technique”, contains a wealth of data and information on the organ procurement procedures that constitute the first steps in organ transplantation. … Practical advice often is provided to the reader in the form of answers to commonly asked questions. The result is a book that is an easy read for transplant surgeons, trainees, and fellows.  It also is a source of important information for nurses and all other professionals involved in organ transplantation, including those in the emergency room, intensive care unit, and wards.  Whether interested or not in transplantation, all young surgeons can profit from this textbook … .” (Thomas E. Starzl, M.D., Ph.D., Professor of Surgery, University of Pittsburgh)