脳死下腹部臓器摘出法

抄録

The organ procurement team must evaluate whether the organs such as liver, small intestine, pancreas, kidney can be procured or not by the donor conditions, past history, present illness, blood chemistry and ultrasonography. Before donor operation, multiorgan procurement teams should discuss about the order of organ procurement, crossclamp, blood drainage, perfusion technique and the division of the vessels. Donation of the abdominal organs from brain-dead donor is performed with the procedure of multiorgan donation technique. In the abdominal organs, small intestine is first extracted followed by the extraction of the liver and pancreas separately or en bloc. When the liver is solitary procured, en bloc procurement of pancreas and kidneys is popular in Japan. In the back table, the pancreas was isolated from the kidney grafts followed by the separation of both kidney grafts. Both kidneys are divided by the division of the aorta, the vena cava and the connective tissues. The kidney grafts are perfused with UW solution before packing on ice.