Skip to main content
SpringerLink
Log in

Pancreas Procurement

  • Chapter
  • First Online:
Multiorgan Procurement for Transplantation

  • 1075 Accesses

Abstract

The technique and quality of pancreas procurement significantly influence the outcome of pancreas transplantation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

BDD:

Brain-dead donor

CHA:

Common hepatic artery

CT:

Celiac trunk

DCD:

Donor after circulatory death

DD:

Deceased donor

DPA:

Dorsal pancreatic artery

GDA:

Gastroduodenal artery

HA:

Hepatic artery

HTK:

Histidine-tryptophan-ketoglutarate

IPDA:

Inferior pancreaticoduodenal artery

LT:

Liver transplantation

MO:

Multiorgan

MOP:

MO procurement

PT:

Pancreas transplantation

RHA:

Right hepatic artery

RRHA:

Replaced right hepatic artery

SA:

Splenic artery

SMA:

Superior mesenteric artery

SMV:

Superior mesenteric vein

SPDA:

Superior pancreaticoduodenal artery

SV:

Splenic vein

UW:

University of Wisconsin

References

  1. Stegall MD, Dean PG, Sung R et al (2007) The rationale for the new deceased donor pancreas allocation schema. Transplantation 83(9):1156–1161

    Article  PubMed  Google Scholar 

  2. Brockmann JG, Vaidya A, Reddy S et al (2006) Retrieval of abdominal organs for transplantation. Br J Surg 93(2):133–146

    Article  CAS  PubMed  Google Scholar 

  3. Biglarnia AR, Bennet W, Nilsson T et al (2014) Utilization of small pediatric donors including infants for pancreas and kidney transplantation: exemplification of the surgical technique and the surveillance. Ann Surg 260(2):e5–e7

    Article  PubMed  Google Scholar 

  4. Fridell JA, Powelson JA, Kubal CA et al (2014) Retrieval of the pancreas allograft for whole-organ transplantation. Clin Transplant 28(12):1313–1330

    Article  PubMed  Google Scholar 

  5. Ollinger R, Margreiter C, Bosmuller C et al (2012) Evolution of pancreas transplantation: long-term results and perspectives from a high-volume center. Ann Surg 256(5):780–786; discussion 6–7

    Article  PubMed  Google Scholar 

  6. Fellmer PT, Pascher A, Kahl A et al (2010) Influence of donor- and recipient-specific factors on the postoperative course after combined pancreas-kidney transplantation. Langenbecks Arch Surg 395(1):19–25

    Article  PubMed  Google Scholar 

  7. Vinkers MT, Rahmel AO, Slot MC et al (2008) Influence of a donor quality score on pancreas transplant survival in the Eurotransplant area. Transplant Proc 40(10):3606–3608

    Article  CAS  PubMed  Google Scholar 

  8. Vinkers MT, Rahmel AO, Slot MC et al (2008) How to recognize a suitable pancreas donor: a Eurotransplant study of preprocurement factors. Transplant Proc 40(5):1275–1278

    Article  CAS  PubMed  Google Scholar 

  9. Schenker P, Vonend O, Ertas N et al (2010) Preprocurement pancreas allocation suitability score does not correlate with long-term pancreas graft survival. Transplant Proc 42(1):178–180

    Article  CAS  PubMed  Google Scholar 

  10. Axelrod DA, Sung RS, Meyer KH et al (2010) Systematic evaluation of pancreas allograft quality, outcomes and geographic variation in utilization. Am J Transplant 10(4):837–845

    Article  CAS  PubMed  Google Scholar 

  11. Fischer-Frohlich CL, Konigsrainer A, Schaffer R et al (2012) Organ donation: when should we consider intestinal donation. Transpl Int 25(12):1229–1240

    Article  PubMed  Google Scholar 

  12. MacPhee I, Fronek J (eds) (2012) Handbook of renal and pancreatic transplantation. Hoboken, Wiley-Blackwell

    Google Scholar 

  13. McKeown DW, Bonser RS, Kellum JA (2012) Management of the heartbeating brain-dead organ donor. Br J Anaesth 108(Suppl 1):i96–i107

    Article  PubMed  Google Scholar 

  14. Abu-Elmagd K, Fung J, Bueno J et al (2000) Logistics and technique for procurement of intestinal, pancreatic, and hepatic grafts from the same donor. Ann Surg 232(5):680–687

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Sollinger HW, Odorico JS, Becker YT et al (2009) One thousand simultaneous pancreas-kidney transplants at a single center with 22-year follow-up. Ann Surg 250(4):618–630

    PubMed  Google Scholar 

  16. Loss J, Drewitz KP, Schlitt HJ et al (2013) Accept or refuse? Factors influencing the decision-making of transplant surgeons who are offered a pancreas: results of a qualitative study. BMC Surg 13:47

    Article  PubMed  PubMed Central  Google Scholar 

  17. Jarnagin WR, J Belghiti, Büchler MW, Chapman WC, D’Angelica MI, DeMatteo RP, Hann LE (eds) (2012) Blumgart’s surgery of the liver, pancreas and biliary tract, 5th edn. Philadelphia, Elsevier Saunders

    Google Scholar 

  18. Huang Y, Li J, Qi H (2013) Management of the accessory or replaced right hepatic artery (A/R RHA) during multiorgan retrieval when the inferior pancreaticoduodenal artery shares a common origin with A/R RHA. Transplant Proc 45(1):20–24

    Article  CAS  PubMed  Google Scholar 

  19. Molmenti EP, Klein AS, Henry ML (2004) Procurement of liver and pancreas allografts in donors with replaced/accessory right hepatic arteries. Transplantation 78(5):770–771

    Article  PubMed  Google Scholar 

  20. Nghiem DD (2008) Revascularization of the gastroepiploic artery in pancreas transplant. Transpl Int 21(8):774–777

    Article  PubMed  Google Scholar 

  21. Socci C, Orsenigo E, Zuber V et al (2006) Triple arterial reconstruction improves vascularization of whole pancreas for transplantation. Transplant Proc 38(4):1158–1159

    Article  CAS  PubMed  Google Scholar 

  22. Barlow AD, Hosgood SA, Nicholson ML (2013) Current state of pancreas preservation and implications for DCD pancreas transplantation. Transplantation 95(12):1419–1424

    Article  PubMed  Google Scholar 

  23. Becker T, Ringe B, Nyibata M et al (2007) Pancreas transplantation with histidine-tryptophan-ketoglutarate (HTK) solution and University of Wisconsin (UW) solution: is there a difference? JOP 8(3):304–311

    PubMed  Google Scholar 

  24. Wunderlich H, Brockmann JG, Voigt R et al (2011) DTG procurement guidelines in heart beating donors. Transpl Int 24(7):733–757

    Article  PubMed  Google Scholar 

  25. Baertschiger RM, Berney T, Morel P (2008) Organ preservation in pancreas and islet transplantation. Curr Opin Organ Transplant 13(1):59–66

    Article  PubMed  Google Scholar 

  26. Boggi U, Vistoli F, Del Chiaro M et al (2004) Pancreas preservation with University of Wisconsin and Celsior solutions: a single-center, prospective, randomized pilot study. Transplantation 77(8):1186–1190

    Article  CAS  PubMed  Google Scholar 

  27. Codas R, Petruzzo P, Morelon E et al (2009) IGL-1 solution in kidney transplantation: first multi-center study. Clin Transplant 23(3):337–342

    Article  PubMed  Google Scholar 

  28. Manrique A, Jimenez C, Herrero ML et al (2006) Pancreas preservation with the University of Wisconsin versus Celsior solutions. Transplant Proc 38(8):2582–2584

    Article  CAS  PubMed  Google Scholar 

  29. Maglione M, Ploeg RJ, Friend PJ (2013) Donor risk factors, retrieval technique, preservation and ischemia/reperfusion injury in pancreas transplantation. Curr Opin Organ Transplant 18(1):83–88

    Article  PubMed  Google Scholar 

  30. Bandlien KO, Mittal VK, Toledo-Pereyra LH (1988) Procurement and workbench procedures in preparation of pancreatic allografts. Factors essential for a successful pancreas transplant. Am Surg 54(9):578–581

    CAS  PubMed  Google Scholar 

  31. Ciancio G, Olson L, Burke GW (1995) The use of the brachiocephalic trunk for arterial reconstruction of the whole pancreas allograft for transplantation. J Am Coll Surg 181(1):79–80

    CAS  PubMed  Google Scholar 

  32. de Miranda MP, Genzini T, Gil AO et al (1998) Use of a donor aortic cross for arterial reconstruction of the pancreaticoduodenal allograft. Clin Transplant 12(3):165–167

    PubMed  Google Scholar 

  33. Nakazato PZ, Concepcion W, Bry W et al (1992) Total abdominal evisceration: an en bloc technique for abdominal organ harvesting. Surgery 111(1):37–47

    CAS  PubMed  Google Scholar 

  34. Kandaswamy R, Skeans MA, Gustafson SK et al (2015) OPTN/SRTR 2013 annual data report: pancreas. Am J Transplant 15(Suppl 2):1–20

    Article  PubMed  Google Scholar 

  35. Muthusamy AS, Mumford L, Hudson A et al (2013) Pancreas transplantation from donors after circulatory death from the United Kingdom. Am J Transplant 13(3):824

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General, Visceral and Transplant Surgery, University Hospital Tübingen, Hoppe Seyler Str. 3, Tübingen, 72076, Germany

    Silvio Nadalin MD, FEBS, Ivan Capobianco MD & Stefan Hulik MD, FEBS

Authors
  1. Silvio Nadalin MD, FEBS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ivan Capobianco MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Stefan Hulik MD, FEBS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Silvio Nadalin MD, FEBS .

Editor information

Editors and Affiliations

  1. Department of Surgery, Abdo Trans Trans Ctr Nig Ca' Granda Hosp, Milan, Italy

    Paolo Aseni

  2. IRCCS Fondazione Policlinico, Dep Cardiac Sur and Heart Lung Trans Ctr, Pavia, Italy

    Antonino M. Grande

  3. Department of Surgery, Abdo Trans Trans Ctr Nig Ca' Granda Hosp, Milan, Italy

    Luciano De Carlis

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Nadalin, S., Capobianco, I., Hulik, S. (2016). Pancreas Procurement. In: Aseni, P., Grande, A., De Carlis, L. (eds) Multiorgan Procurement for Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-28416-3_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-28416-3_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28414-9

  • Online ISBN: 978-3-319-28416-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation