Abstract
Background: A multivisceral graft consists of liver, stomach, pancreas, duodenum and intestine; and its transplantation has become a life-saving procedure for patients who require abdominal evisceration to remove locally advanced tumours or for thrombosis of major splanchnic vessels. Methods: This article describes the technical details of multivisceral graft procurement, recipient evisceration and graft implantation. Results: So far 72 such transplants have been reported to the international registry. After completion of the suprahepatic and infrahepatic cava anastomosis, arterial reconstruction is performed by means of an aortic conduit with both the coeliac axis as well as the superior mesenteric artery. Following reperfusion the gastro-intestinal tract is restored with a gastrogastrostomy and the distal end of the intestine is brought out as a stoma for monitoring. Conclusions: Multivisceral transplantation has become a clinical reality. A carefully performed donor operation, recipient evisceration and transplantation are the basis for low morbidity and acceptable long-term results.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
