Abstract
There is currently a lack of standard kidney-only procurement technique. Known techniques such as kidney-only procurement using the standard multi-organ procurement technique could potentially cause more iatrogenic injuries due to less adequate exposure. An alternative using the live open kidney donation technique could also be less than ideal due to prior unknown anatomical variation and potential the inability to adequately topically cool the kidneys. We describe here a novel easy kidney-only technique leading to an improved exposure, better cold perfusion and topical cooling. Herein we show how total bowel evisceration can be achieved by stapling the hepatic hilum, superior mesenteric artery and coeliac trunk. There is a need of a kidney only procurement in order to increase the quality of deceased kidney donation in our opinion. Results have to be compared in the future to determine the potential benefits.
Highlights
In the modern era of organ transplantation, with an increasing organ shortage, successful procurement of any suitable organs becomes of paramount importance
We show how total bowel evisceration can be achieved by stapling the hepatic hilum, superior mesenteric artery and coeliac trunk
There is a need of a kidney only procurement in order to increase the quality of deceased kidney donation in our opinion
Summary
In the modern era of organ transplantation, with an increasing organ shortage, successful procurement of any suitable organs becomes of paramount importance. In the Netherlands, patients can decide which organs they are willing to donate in case they become donors. In other instances only kidneys are procured because other organs are not suitable for transplantation. We describe a technique of kidney only procurement which is rapid and easy to learn. It provides a stable, safe and clear operative field. This is crucial in order to avoid any injuries during identification and dissection of anatomical structures. The advantages of this technique could be a more rapid procurement with less preservation fluid necessary for adequate flushing
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