Combined cadaveric hepatic and renal organ procurement in infants. Technique for salvage of all organs.
The recent improved success with solid organ transplantation has made multiple-organ procurement from single cadaveric donors a more frequent procedure. The techniques for team procurement have resulted in excellent posttransplant organ function with minimal organ waste. In 12% of the population the right hepatic artery arises from the superior mesenteric artery. When this occurs in an infant or small pediatric combined kidney-liver donor, the aorta is divided below the superior mesenteric artery. Our method salvages the kidneys from these donors for en bloc transplantation without jeopardizing the liver for transplant.
D000293:Adolescent; D000328:Adult; D002102:Cadaver; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D016030:Kidney Transplantation; D016031:Liver Transplantation; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D014019:Tissue Donors