Table Of ContentAbhinav 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
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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.
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