A Modified, Rapid and Safe Technique of Kidney Only Procurement from Donors after Circulatory and Brain Death (DCD, DBD)

Abstract

There is currently a lack of standard kidney-only procurement technique. Known techniques such as kidney-only procurement using the standard multi-organ procurement technique could potentially cause more iatrogenic injuries due to less adequate exposure. An alternative using the live open kidney donation technique could also be less than ideal due to prior unknown anatomical variation and potential the inability to adequately topically cool the kidneys. We describe here a novel easy kidney-only technique leading to an improved exposure, better cold perfusion and topical cooling. Herein we show how total bowel evisceration can be achieved by stapling the hepatic hilum, superior mesenteric artery and coeliac trunk. There is a need of a kidney only procurement in order to increase the quality of deceased kidney donation in our opinion. Results have to be compared in the future to determine the potential benefits.

Graft survival after kidney transplantation with standard versus prolonged kidney procurement time

“…This may reflect the influence of trainees' learning curves, as fellows usually retrieve organs, but it suggests the need for further refinement of retrieval techniques. 16 Although we used hypothermic machine preservation in some of our cases, there was neither sufficient information available nor consistent use to enable analysis of the potential benefit of this technology, even when kidneys were procured after 65 minutes.…”