Atlas_of_Organ_Transplantation.pdf

Atlas of Organ Transplantation

Abhinav Humar, Arthur J. Matas and

William D. Payne

Atlas of Organ

Transplantation

With 438 Figures

Abhinav Humar, MD,

Arthur J. Matas, MD,

William D. Payne, MD,

FRCS

FACS

Department of Surgery

Division of

Transplantation

University of Minnesota

Minneapolis, MN

USA

Cover photograph by author.

British Library Cataloguing in Publication Data

Atlas of organ transplantation

1. Transplantation of organs, tissues, etc. – Atlases

I. Humar, Abhinav II. Matas, Arthur J. III. Payne, William D.

617.9

′

Library of Congress Control Number: 2005938494

ISBN-10: 1-84628-314-0

e-ISBN 1-84628-316-7

Printed on acid-free paper

ISBN-13: 978-1-84628-314-7

The software disk accompanying this book and all material contained on it is supplied without any warranty

of any kind. The publisher accepts no liability for personal injury incurred through use or misuse of the disk.

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under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or trans-

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The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a speciﬁc

statement, that such names are exempt from the relevant laws and regulations and therefore free for general

use.

Product liability: The publisher can give no guarantee for information about drug dosage and application

thereof contained in this book. In every individual case the respective user must check its accuracy by con-

sulting other pharmaceutical literature.

Printed in the United States of America

(BS/KYO)

987654321

Springer Science

Business Media

springer.com

ISBN-13: 9781846283147

ISBN-10: 1846283140

Preface

The ﬁeld of organ transplantation has undergone remarkable changes in the last decade.

The growing numbers of agents available for immunosuppression have played a

signiﬁcant role in the advancement of this ﬁeld. However, just as important has been the

development of surgical innovations in the ﬁeld. This includes not only the development

of new surgical procedures, but also modiﬁcations of the existing ones. This has involved

all areas of organ transplantation including deceased-donor procurement techniques,

living-donor transplantation, and transplantation of the individual organs including

kidney, liver, pancreas, and intestine. Examples include procurement from non–heart-

beating donors; living-donor transplants involving the liver, pancreas, or intestine;

laparoscopic donor nephrectomy; split-liver transplants; and multivisceral transplants.

All of these represent new, innovative procedures that are being performed on a regular

basis only in the last few years. Given these recent dramatic changes in the surgical face

of transplantation, we felt it was time for a surgical atlas of transplantation that high-

lighted these recent developments.

The aim of this book is to provide the reader with a comprehensive, pictorial step-by-

step account of abdominal organ transplant procedures performed by contemporary

transplant surgeons. Emphasis has been placed on newer procedures or procedures that

have undergone signiﬁcant modiﬁcations. It is recognized that there are many well-

accepted techniques for the same procedure, with each having potential merit. While it

is impossible to present all of these variations, an attempt has been made to describe the

common variations in surgical technique.

Innovations in imaging have allowed us to organize this atlas in a format that pro-

vides the reader with the most clear and realistic view of the operative procedures.

Schematic diagrams are included to complement high-quality intraoperative photo-

graphs, allowing readers to clearly visualize the course of the operative procedure. A

unique feature of this atlas is a digital video ﬁle of the major operative procedures, which

provides the reader with the closest possible experience to being present in the operat-

ing suite. It is hoped that this format will provide the reader with a clear visual and

written description of all major abdominal transplant procedures performed by the

modern transplant surgeon.

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