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.
KeywordsSuperior Mesenteric Artery Celiac Trunk Pancreas Transplantation Left Gastric Artery Hepatic Hilum
- 3.Van Burden CT, Barakat O (1994) Organ donation and retrieval. Surg Clin North Am 74:1055–1081Google Scholar
- 4.Pang P, Houssin D (1992) Le prèlevement d’organes. Masson, ParisGoogle Scholar
- 10.Di Benedetto F, Tarantino G (2016) Small-bowel and multivisceral procurement. In: Multiorgan procurement for transplantation. A guide to surgical technique and management. Switzerland: Springer International PublishingGoogle Scholar