Atlas of Organ Transplantation PDF
Preview Atlas of Organ Transplantation
Abhinav Humar Mark L. Sturdevant Atlas of Organ Transplantation Second Edition 123 Atlas of Organ Transplantation Abhinav Humar (cid:129) Mark L. Sturdevant Editors Atlas of Organ Transplantation Second Edition Editors Abhinav Humar, MD Mark L. Sturdevant, MD Surgery Surgery Thomas E. Starzl Transplantation Institute Thomas E. Starzl Transplantation Institute Pittsburgh , PA Pittsburgh , PA USA USA ISBN 978-1-4471-4774-9 ISBN 978-1-4471-4775-6 (eBook) DOI 10.1007/978-1-4471-4775-6 Springer London Heidelberg New York Dordrecht Library of Congress Control Number: 2014959863 © Springer-Verlag London 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) This book is dedicated to the many fellows, residents, and students I have had the honor and pleasure to interact with; to my mentors Dr. William Payne, Dr. David Sutherland, Dr. Arthur Matas, Dr. John Najarian, and Dr. Thomas Starzl, all of whom are shining examples of what a transplant surgeon should be; to my wife Priya and my children Rishab and Pooja for the many years of love, support, and understanding; and to my loving parents Jagmohan and Yash, who provided me with the strongest of foundations and the fi nest role models anyone could ask for. Abhinav Humar, MD Pref ace The story of organ transplantation is one of the most fascinating in modern medicine. From a largely experimental fi eld 30 years ago, it has advanced to become the gold standard treatment for most forms of end-stage organ failure. This remarkable journey relies in part on advance- ments in the understanding of the immune system and immunosuppression. An equally impor- tant role, however, has been played by the development of surgical innovations in the fi eld including not only the development of new surgical procedures but also the modifi cation of existing ones involving all areas of organ transplantation such as deceased-donor procurement techniques, living-donor transplantation, and transplantation of 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. These procedures have now become a routine part of all mainstream transplant programs, and the modern-day transplant surgeon must be well versed in these procedures. The aim of this book is to provide 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 signifi cant modifi cation. It is recognized that there are many well-accepted techniques for the same pro- cedure, with each having potential merit. While it is impossible to present all of these varia- tions, an attempt has been made to describe common variations in surgical techniques. Innovations in imaging have hopefully allowed us to organize this atlas in a format that provides the reader with the most clear and realistic view of operative procedures. Schematic diagrams are included to complement high-quality intraoperative photographs allowing read- ers to clearly visualize the course of the operative procedure. A unique feature of this atlas is digital movie fi les of major operative procedures offering an experience as close as possible to being present in the operating suite. It is hoped that this format will provide a clear visual and written description of all major abdominal transplant procedures performed by the modern transplant surgeon. Pittsburgh, PA, USA Abhinav Humar , MD Mark L. Sturdevant , MD vii Acknowledgment Abhinav Humar and Mark Sturdevant would like to express their sincerest appreciation to their authors and colleagues for their contributions and for sharing their expertise. Without their selfl ess dedication and commitment to education, this atlas would not have been possible. T his endeavor was made possible and essential by the unwavering courage of our patients as they face grave challenges. To my mentors in transplant surgery, Drs. Dan Hayes, Paul Gores, Lon Eskind, Art Matas, David Sutherland, Rainer Gruessner, Raja Kandaswamy, Bill Payne, and especially Abhi Humar, I have nothing but respect and gratitude. Most importantly, to my perpetually supportive parents Don and Sheila, your love, sacrifi ces and dedication to family and work have afforded me undeserved opportunities, for these and many other things I will be forever grateful. ix
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