Regional procurement team for abdominal organs.
BACKGROUND
The graft shortages make multiorgan procurements mandatory. We describe the results of a regional procurement team policy that has been employed over a 5-year period.


METHODS
Three hundred forty-three multiorgan procurements were performed by a regional team using an en bloc harvesting method.


RESULTS
Among 1374 grafts procured, none was discarded because of iatrogenic injuries. In three instances the liver, the pancreas, and the small bowel were procured simultaneously and transplanted to different recipients. In 42 instances the liver was not allocated to our center. Forty liver teams (95%) from 11 institutions agreed to allow the regional procurement team to run the donor procedure.


CONCLUSIONS
Our experience confirms that a regional team can successfully manage most multiorgan procurements including complex donor procedures, such as simultaneous procurement of liver, pancreas, and intestine from the same donor for transplantation to different recipients.
Signori
S
S
Divisione di Chirurgia Generale e Trapianti, Università di Pisa, Pisa, Italy.
Boggi
U
U
Vistoli
F
F
Del Chiaro
M
M
Pietrabissa
A
A
Costa
A
A
Vanadia Bartolo
T
T
Coletti
L
L
Gremmo
F
F
Croce
C
C
Morelli
L
L
Mosca
F
F
D000005:Abdomen; D006801:Humans; D007558:Italy; D012189:Retrospective Studies; D014019:Tissue Donors / Q000600:supply & distribution*; D020858:Tissue and Organ Harvesting / Q000379:methods / Q000706:statistics & numerical data; D009927:Tissue and Organ Procurement / Q000458:organization & administration* / Q000706:statistics & numerical data; D014184:Transplantation, Homologous / Q000706:statistics & numerical data