Operative Techniques in Transplantation Surgery
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Library of Congress Cataloging-in-Publication Data
Operative techniques in transplantation surgery / editor, Michael J. Englesbe; editor-in-chief, Michael
W. Mulholland.
p. ; cm.
Includes bibliographical references.
ISBN 978-1-4511-8874-5
I. Englesbe, Michael J., editor. II. Mulholland, Michael W., editor.
[DNLM: 1. Transplantation—methods. 2. Tissue and Organ Procurement. 3. Transplants—surgery.
WO 660]
RD120.7
617.9’54—dc23
2014029298
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Dedication
I dedicate this book to my father, William Englesbe, and my mentor, Darrell
Campbell, Jr, MD. You two have given me every opportunity.
I would also like to dedicate this book to my wife, Audrey Wu, and my
children Mia, Ava, and William. It was lovely to have you sitting next to me
as I worked on this. Thank you!
Michael J. Englesbe
Contents
Contributing Authors
Series Preface
Preface
Section I Deceased Donor Kidney Procurement
1 Standard Deceased Donor Kidney Procurement
Christie W. Gooden
2 Procurement of Pediatric En Bloc Kidneys
Christoph Troppmann
3 Renal Machine Perfusion and Preimplantation Renal Allograft
Biopsy
Michael J. Goldstein and Yuriy Yushkov
Section II Living Donor Kidney Procurement
4 Laparoscopic Hand-Assisted Donor Nephrectomy
Kenneth J. Woodside
5 Fully Laparoscopic Donor Nephrectomy
Bonnie E. Lonze and Dorry L. Segev
6 Open Retroperitoneal Nephrectomy
Leigh Anne Dageforde and Derek E. Moore
Section Kidney Transplantation Surgical
III Procedures
7 Adult Kidney Transplantation
Marc L. Melcher and Elyssa J. Feinberg
8 Kidney Transplantation with Complex Arterial Anatomy
Carlton J. Young
9 Pediatric Kidney Transplantation
Peter L. Abt
10 Transplantation of Pediatric En Bloc Kidneys
Christoph Troppmann and Richard V. Perez
11 Kidney Transplantation in the Obese Recipient
Randall S. Sung
12 Renal Allograft Thrombosis
Vinayak S. Rohan, John W. McGillicuddy, and Kenneth D.
Chavin
13 Transplant Nephrectomy
Michael J. Englesbe and Seth Waits
Section Deceased Donor Liver Procurement
IV
14 Procurement of Liver for Transplantation
Malay B. Shah and Erin C. Maynard
15 Liver and Kidney Donation following Cardiac Death
Roberto Hernandez-Alejandro, Lisa Taylor
VanHouwelingen, and Kris P. Croome
16 Back-Table Preparation of the Liver for Transplantation
Sean C. Kumer
Section V Living Donor Liver Procurement
17 Right Hepatectomy for Living Donation
Karim J. Halazun, Masaru Kubota, and Benjamin Samstein
18 Living Donor Left Hepatectomy
Derek DuBay and Anand Ghanekar
19 Left Lateral Segment Living Donor Hepatectomy
Anand Ghanekar
Section Whole Graft Liver Transplantation
VI
20 Deceased Donor Transplantation Hepatectomy (Artery, Portal Vein,
and Bile Duct)
Karim J. Halazun, Gerardo Kahane, and James V.
Guarrera
Section Liver Transplantation—Venous Outflow
VII
21 Bicaval Liver Transplantation (with Venovenous Bypass)
Greg J. McKenna
22 Piggyback Liver Transplantation
Jose L. Almeda and W. Kenneth Washburn
23 Liver Transplantation Using a Cavocavostomy
Christopher J. Sonnenday
Section Liver Transplantation—Portal Vein
VIII Reconstruction
24 Portal Vein Reconstruction during Liver Transplantation
Joseph F. Magliocca
25 Management of Portal Vein Thrombosis
Ashish Singhal, Flavio Paterno, and Shimul A. Shah
26 Pediatric Portal Vein Reconstruction
Shant Shekherdimian and Annie Fecteau
Section Liver Transplantation—Arterial
IX Reconstruction
27 Standard Arterial Reconstruction
Matthew H. Levine
28 Arterial Reconstruction with Replaced Hepatic Arteries
Paolo R. Salvalaggio, Jefferson A. Alves, Roberto F.
Meirelles, Jr, Sergio P. Meira Filho, and Marcelo B.
Rezende
29 Arterial Reconstruction with an Aortic Conduit
Amit K. Mathur and Theodore H. Welling
30 Arterial Reconstruction in Children
Jaimie D. Nathan, Brian S. Pan, and Greg M. Tiao
Section X Liver Transplantation—Biliary
Reconstruction
31 Standard Choledochocholedochostomy
Susan C. Pitt and Christopher D. Anderson
32 Roux-en-Y Biliary Reconstruction
David Lee and Joohyun Kim
33 Choledochoduodenostomy
Michael A. Zimmerman and Igal Kam
34 Biliary Reconstruction in Children
Ronald T. Cotton, Jacfranz J. Guiteau, John A. Goss, and
Christine A. O’Mahony
Section Partial Graft Liver Transplantation
XI
35 Right Lobe Liver Transplantation in Adults
James J. Pomposelli
36 Left Lobe Living Donor Liver Transplantation in Adults
Jean F. Botha
37 Left Lobe and Left Lateral Segment Transplantation in Children
Michael J. Englesbe, Amit K. Mathur, and John C. Magee
Section Pancreas Transplantation Surgical
XII Procedures
38 Back-Table Preparation of the Pancreas for Transplantation
Zoe A. Stewart
39 Procurement of the Pancreas for Solid Organ and Islet
Transplantation
Juan S. Danobeitia and Luis A. Fernandez
40 Pancreas Transplantation with Systemic Venous Drainage
Randall S. Sung
41 Pancreas Transplantation with Portal Venous Outflow
Jeffrey Rogers and Robert J. Stratta
42 Enteric and Bladder Drainage of the Exocrine Pancreas and
Enteric Conversion
Ty B. Dunn
43 Transplant Pancreatectomy
David Shaffer
Section Lung Transplantation Surgical Procedures
XIII
44 Procurement of Lungs for Transplantation
Rishindra M. Reddy and Philip W. Carrott, Jr
45 Single Lung Transplantation
Andrew C. Chang and Tyler R. Grenda
46 Bilateral Sequential Lung Transplantation
Bassem N. Mora and David P. Mason
Section Portal Hypertension Surgical Procedures
XIV
47 Transjugular Intrahepatic Portosystemic Shunt
Ranjith Vellody and Narasimham L. Dasika
48 Surgery for Portal Hypertension in Children and Adults
Michael J. Englesbe and Amit K. Mathur
Index
Contributing Authors
Peter L. Abt, MD
Associate Professor of Surgery
Director
Kidney Transplantation
The Children’s Hospital of Philadelphia
Department of Surgery
Division of Transplant Surgery
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
Jose L. Almeda, MD
Assistant Professor of Surgery
University of Texas Health Science Center at San Antonio
Organ Transplantation Center
University Transplant Center
San Antonio, Texas
Jefferson A. Alves, MD
Liver Transplant Surgeon
Hospital Israelita Albert Einstein
São Paulo, Brazil
Christopher D. Anderson, MD
Associate Professor of Surgery and Medicine
Chief, Transplant and Hepatobiliary Surgery
University of Mississippi Medical Center
Jackson, Mississippi
Jean F. Botha, MD
Director
Liver Transplant Program
Division of Transplant Surgery
Wits Donald Gordon Medical Center
Parktown, Johannesburg, South Africa
Philip W. Carrott, Jr, MD
Fellow
Department of Surgery
Section of Thoracic Surgery
University of Michigan Health System
Ann Arbor, Michigan
Andrew C. Chang, MD
Associate Professor of Surgery
Section of Thoracic Surgery
University of Michigan Medical Center
Ann Arbor, Michigan
Kenneth D. Chavin, MD, PhD
Professor
Department of Surgery
Division of Transplant
Medical University of South Carolina
Charleston, South Carolina
Ronald T. Cotton, MD
Chief Resident in General Surgery
Michael E. DeBakey VA Medical Center
Department of Surgery
Baylor College of Medicine
Houston, Texas
Kris P. Croome, MD, MS
Fellow in Liver Transplantation
Department of Surgery
London Health Sciences Centre
Western University, Canada
London, Ontario, Canada
