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Whole-Liver Procurement

  • Paolo Aseni
  • Anna Mariani
  • Fabio Ferla
  • Matteo Tripepi
  • Vincenzo Pirotta
Chapter

Abstract

In this chapter we describe the technical details for the whole liver procurement and en bloc liver-pancreas procurement. After perfusion, avoid prolonged time during organ retrieval. Hepatoduodenal and gastrohepatic ligaments should be dissected as near as possible to the lesser curve, avoiding damage to the accessory (or replaced) left hepatic artery from the left gastric artery. Excessive tractions or rotations of the liver can cause tearing of the Glisson’s capsule and liver parenchyma. Transection of the right adrenal gland suggests the correct plane of division of the infrahepatic vena cava, thus avoiding injury of the right renal vein. Avoid any manipulation of the pancreatic parenchyma. Remember to rinse the common bile duct with perfusion solution shortly after liver retrieval. Flush the liver again through the portal stump at the back table soon after retrieval.

Keywords

Superior Mesenteric Artery Celiac Trunk Pancreas Transplantation Left Gastric Artery Hepatic Hilum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Paolo Aseni
    • 1
  • Anna Mariani
    • 1
  • Fabio Ferla
    • 1
  • Matteo Tripepi
    • 1
  • Vincenzo Pirotta
    • 1
  1. 1.Department of Surgery and Abdominal TransplantationTransplant Center, Niguarda Ca’ Granda HospitalMilanItaly

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