Duodenopancreatectomy for transplantation
D. D. Nghiem, J. A. Schulak and R. J. Corry
Department of Surgery, University of Iowa, Iowa City.
Forty duodenopancreatectomies for transplantation were performed. The
technique focused on the maintenance of the cardiovascular hemodynamics of
the donor during the procedure, the meticulous dissection and preservation
of all vascular supplies to the duodenum and the pancreas, and the
suppression of warm ischemia by in situ cooling. Recipient euglycemia was
established within two hours of the revascularization in 37 of 38 pancreata
transplanted. Only six of the 78 renal transplant recipients receiving more
than one organ from the same donor required postoperative dialysis, for a
7.7% incidence of delayed graft function. Immediate function was observed
in all six cardiac allograft recipients.