Synopsis
PART 1 Expanding the donor pool and evaluation of the possible organ donor.- Ethics of organ donation.- Policies for boosting donor enlistment in the North Italy transplant program macro-area.- Preoperative evaluation and arrangements for multi-organ donation: general principles and contra-indications.- PART 2 Principles of brain death diagnosis and optimal management for organ retrieval.- Brain death diagnosis.- Spinal reflexes and movements in brain death donors.- Management of metabolic and hemodynamic derangements in heart beating donors.- Non-heart-beating donors.- Multiple organ retrieval: general principles, organ preservation, and new strategies.- PART 3 Surgical technique for thoracic organ procurement.- Thoracic and mediastinal inspection and heart procurement.- Lung and heart-lung procurement.- PART 4 Surgical technique for abdominal organ procurement.- Detailed abdominal organ inspection and early surgical steps for abdominal organ procurement.- Whole liver procurement.- Split liver: surgical technique for adult-paediatric and for two adult recipients.- Small bowel and multivisceral procurement.- Pancreas Procurement.- Kidney procurement.- Vascular Homograft Procurement.- Transplantation bench surgery of the abdominal organs.- PART 5 Surgical technique for liver and kidney living donor.- Right liver lobe hemi-hepatecomy for living donor liver transplantation.- Pure laparoscopic left lateral and full-left hepatectomy including the middle hepatic vein in living donors.- Total laparoscopic right hepatecomy for living donors.- Laparoscopic and robot-assisted nephrectomy.
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