With a strong focus on technical efficiency, Operative Techniques in Transplant Surgery takes you step by step through every aspect of solid organ transplantation surgery. Using concise text, full-color illustrations, and operative images, it provides detailed coverage of deceased and living donation, as well as liver, kidney, pancreas, and lung transplantation. You’ll find practical, step-by-step guidance on preoperative, intra-operative, and post-operative clinical decision making, helping you hone your skills and incorporate today’s innovative approaches into your surgical practice.
A concise, illustrated guide to the operative techniques and medical management of liver transplantation Filled with more than 1,000 images, illustrations, and bulleted text, this invaluable book provides a highly visual approach to liver transplantations for a diverse audience of healthcare professionals who treat patients with acute and chronic liver failure that requires full or partial transplantation. With coverage of all topics in the field, this reader-friendly and practical book serves as an ideal reference for residents, fellows, and senior physicians. It is easy to read, simple, and practical. FEATURES Over 1,000 high quality images and illustrations Multi-Disciplinary Approach Overview Liver Disease - Native and Recurrent Recipient Candidate Evaluation Donor Evaluation - Live and Deceased Pharmacy Anesthesia Operative Techniques Post-Operative Management Pathology Dermatological Findings Imaging And much more, including Immunology, Ethics, Quality Control, Risk Management, and Cellular and Tissue Engineering
The aim of the book is to describe tested microsurgical procedures of kidney, pancreas, islets, heat, liver and small bowel transplantation. All procedures written in the book are used in our experimental research laboratory and their description will be provided by an experienced researcher. The book is organized into ‘General’ and ‘Specific’ sections. The ‘General’ section will include principles, doses and available drugs for rat anaesthesia, the surgical anatomy of the rat, a brief review of immunosuppressant’s used in rat models, a description of basic surgical techniques and blood sampling. The ‘Specific’ section will include a description of the rat model with the appropriate organ failure relevant to the organ transplantation, which will be followed by a detailed description of the surgical procedure with high quality pictures of key steps. Each chapter will describe ‘tips and tricks’ including practical advice and recommendations.
The success of an operation depends not only on careful dures with direct visualisation techniques. Special inst- clarification of the indications, selection of the right time ments are only used for one specific purpose; a surgical for operating and technically neat operating techniques, needle today has its own anatomy. In addition, these but also on correct preoperative preparation and positio- aspects are joined by stricter safety conditions, increased ning of the patient. But this aspect in particular is fre- demands made by patients, with the threat of legal con- quently neglected, particularly by young surgeons, becau- quences if something should go wrong in terms of »nihil se technical details of the operation assume far greater nocere« ... attention, underestimating the contribution made by op- We have therefore made an attempt to illustrate a p- timum positioning to a time-saving operation which runs cedure which has proven successful over many years at the as perfectly as possible. How easy is it for an operation to Medical University Hannover. This does not mean that develop complications out of all proportion because the there are not other appropriate or even better suited surgeon forgot certain »minor matters« during preparati- procedures for specific situations, which would ideally ons! Anyone who has witnessed this themselves will ap- supplement the procedure described here. We felt it was preciate just how important exact preoperative planning important to describe safe, practical positioning tech- and preparation is before an operation takes place. ques to simplify each specific operation.
In the past, liver resections and liver transplantations were performed by different surgical teams, with very little interplay between the two. However, the evolution toward more complex operations called for an increasingly intense interaction between these surgical techniques: split liver and living donor liver transplantation have become popular in the transplant community, utilizing the Coinaud segmental anatomy in a very sophisticated way, while portal and arterial resection and reconstruction have become indispensable methods for treating Klatskin tumors infiltrating the hepatic hilum. This book offers a complete overview of the connections between liver transplantation and hepatobiliary surgery. It focuses on ex situ techniques for resection of tumors at the suprahepatic confluence, with or without venous reconstruction, and on total vascular exclusion of the liver with the aid of a venovenous bypass that should be a surgical option for referral centers in hepatopancreatobiliary surgery. By taking into consideration the development of minimally invasive liver surgery, it will introduce readers to a variety of new perspectives such as: vascular exclusion techniques with or without extracorporeal circulation, hemodynamic implications and lessons learned from liver transplant surgery, and technical details on pediatric transplantation and its informative role in modern biliary tract surgery.
The aim of this book is to identify and shed new light on the main surgical practices involved in acute care and trauma surgery. Adopting an evidence-based approach, a multidisciplinary team of surgeons and intensivists illustrate basic and advanced operative techniques, accompanied by a comprehensive and updated reference collection. Emerging surgical procedures in Acute Care Surgery are also explored step by step with the help of ample illustrations. Further, the book offers an overview of treatment options for acute organ failure, with a focus on peculiar clinical situations that call for special treatment, including: extracorporeal membrane oxygenation (ECMO), circulatory support and urgent liver transplantation. In order to identify the key determinants in decision-making and therapeutic support that can help avoid critical errors, authors not only define and discuss specific surgical techniques, but also present major issues and controversies related to it. In essence, the book can be considered a “What to do guide” that offers easy access to both basic and advanced lifesaving surgical procedures, due in part to text boxes highlighting “Tips, Tricks and Pitfalls” as well as advice on “Complications Management”. Many chapters are enriched by providing clinical case scenarios, an important educational resource including self–assessment questionnaires.
Brought to you by the world’s leading transplantclinicians, Textbook of Organ Transplantation provides acomplete and comprehensive overview of modern transplantation inall its complexity, from basic science to gold-standard surgicaltechniques to post-operative care, and from likely outcomes toconsiderations for transplant program administration, bioethics andhealth policy. Beautifully produced in full color throughout, and with over 600high-quality illustrations, it successfully: Provides a solid overview of what transplantclinicians/surgeons do, and with topics presented in an order thata clinician will encounter them. Presents a holistic look at transplantation, foregrounding theinterrelationships between transplant team members and non-surgicalclinicians in the subspecialties relevant to pre- andpost-operative patient care, such as gastroenterology, nephrology,and cardiology. Offers a focused look at pediatric transplantation, andidentifies the ways in which it significantly differs fromtransplantation in adults. Includes coverage of essential non-clinical topics such astransplant program management and administration; research designand data collection; transplant policy and bioethical issues. Textbook of Organ Transplantation is the market-leadingand definitive transplantation reference work, and essentialreading for all transplant surgeons, transplant clinicians, programadministrators, basic and clinical investigators and any othermembers of the transplantation team responsible for the clinicalmanagement or scientific study of transplant patients.
Kidney & Pancreas Transplantation is a comprehensive collection of considerations for organ transplantation, starting from candidate evaluation to surgical techniques and complications, and cutting-edge material on robotic surgical techniques. Divided into 22 sections, comprising 72 chapters, the book clearly illustrates the step-by-step surgical procedures of kidney and pancreas transplantation surgeries. Topics include islet cell transplantation, epigenetics, imaging complications, pathology, dermatologic manifestations, obesity and metabolic syndromes. The section ‘Operative Techniques: Donor’ offers extensive coverage of live donor nephrectomy, methods for avoiding and managing hazards during live donor nephrectomies and deceased donor procurement. Kidney & Pancreas Transplantation has a multidisciplinary approach, comprised of contributions from internationally renowned nephrologists. It offers practical guidance and information relevant to a diverse audience of physicians. Key Points Contributions from multidisciplinary experts Edited by Professor Molmenti at the LIJ School of Medicine, New York 1230 (800 full colour) images, illustrations and tables
This practical guide provides a full but concise account of the organ donation and transplantation process, from the management of the donor and organ preservation to perioperative management and surgical techniques. Readers will learn about various aspects of multi-organ retrieval such as different types of donors and evaluation of organ donors, as well as the retrieval process itself and ethical aspects of transplantation. Written in a consistent format, each of the themed parts examines the different types of solid organ transplantation, namely kindey, pancreas and liver. Each part discusses the indications for transplantation, organ allocation, surgical technique, post-operative management outcomes and professional skills for the surgeon. This is an essential guide for the transplant surgeon offering a unique summary of the critical issues in abdominal organ transplantation.
This atlas provides transplant professionals with a step-wise approach to organ transplantation, illustrating the technical steps and highlighting practice points for each procedure. All aspects of abdominal and thoracic transplantation are covered, including organ retrieval, bench preparation and implantation. Separate chapters address specific technical issues for heart and lung, liver, kidney, pancreas and intestinal transplantation, providing detailed approaches to difficult situations. Technical variations are clearly explained, and tips are provided on how to ensure safe and efficient surgery. Transplant surgeons, trainees, fellows and other professionals involved in transplantation will find this book to be an ideal reference point. It has been written by an experienced international team of authors who have pioneered many of the techniques described.
This new book, edited by internationally renowned specialists, also pools the experience of consultants from both Europe and the US. It is divided into three main sections: Organ Preservation, Organ Harvesting and Surgical Techniques. Many different organs are profiled, including the heart, kidneys, lungs, pancreas, intestine and bowel. The various aspects of preservation are discussed including cooling and preservation solutions, which are of special interest as researchers are actively exploring the composition of those solutions. Longer term preservation of the heart is still an unsolved problem and this is considered, as well as the pros and cons of organ donation from live or cadaveric donors. Fully referenced and illustrated with over 50 line drawings, Organ Preservation and Transplant Surgery will be of particular interest to those involved in the often complex surgery of organ harvesting or trainees in transplantation surgery. It gives clear accounts of techniques and a detailed update in the underlying science that determines and currently limits organ storage. It will also prove invaluable to the younger researcher who needs a clearer understanding of the scientific basis of organ preservation and the clinical need for better organ preservation.