© Springer International Publishing Switzerland 2015Antonio Daniele Pinna and Giorgio Ercolani (eds.)Abdominal Solid Organ Transplantation10.1007/978-3-319-16997-2_30 30. Combined Abdominal Transplantation: Liver–Kidney Massimo Del Gaudio1 , Giorgio Ercolani1 , Matteo Cescon1 , Matteo Ravaioli1 , Chiara Zanfi1 , Valentina Bertuzzo1 and Antonio Daniele Pinna1 (1) Division of General and Transplant Surgery…
Flowchart for donor evaluation Comprehensive analysis of medical and surgical history, review of systems, physical examination, current medications, history of malignancy, and previous intestinal surgery ABO compatibility, HLAa type, lymphocytotoxic…
Anesthetic induction and maintenance Preenterectomy stage Enterectomy stage Neointestinal stage Routine monitoring electrocardiography pulse oximetry, capnography, temperature, invasive arterial blood pressure, baseline arterial blood gas 8 F or larger cannulas…
Adults (n. 688) Children (n. 166) Short bowel syndrome (no. (%)) 514 (74.7 %) 87 (52.4 %) Mesenteric ischemia 36 % Crohn’s disease 29 % Rx enteritis 10 % …
22. Costa NA, Kshirsagar AV, Wang L, Detwiler RK, Brookhart MA. Pretransplantation erythropoiesis-stimulating agent hyporesponsiveness is associated with increased kidney allograft failure and mortality. Transplantation. 2013;96(9):807–13.PubMedCentralCrossRefPubMed 23. Dauru M, et…
Fig. 18.1 Vein graft for living kidney transplantation and back table of an artery graft for living kidney transplantation 18.2.2 Retroperitoneal The donor is placed in the lateral decubitus position…
History and examination Instrumental investigations Microbiological screening Laboratory investigations Immunological investigations Family history Chest radiograph HBV Blood count and coagulation Blood group Pathological history Electrocardiogram HCV Urea, creatinine, serum uric…
Fig. 15.1 Natural history of renal disease To determine the timing, i.e., when to proceed to transplantation, a distinction must be made between theory and practice. In theory, transplant should…
Fig. 12.1 Percutaneous transhepatic cholangiography showing typical findings of intrahepatic biliary dilatation and stenosis, “cast syndrome,” due to posttransplant hepatic thrombosis. Early surgical revascularization was performed, but the patient required…
Hepatic Renal electrolyte glucose Cardiovascular Pulmonary Neurologic Haematologic Decreased metabolic function Acute kidney injury Vasodilated state Aspiration risk Hepatic encephalopathy Bleeding and thrombosis Decreased gluconeogenesis Hepatorenal syndrome Hyperdynamic cardiac function…
