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Frozen Section Library: Liver, Extrahepatic Biliary Tree and Gallbladder pp 95–111Cite as

Intraoperative Assessment of Donor Livers in the Transplant Setting

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Abstract

There are two major indications for intraoperative consultation on donor liver samples during, or prior to, transplantation surgery. Surgeons may encounter unsuspected hepatic tumors during the harvest of donor organs. These lesions must be classified as benign of malignant at the time of organ harvest, since a diagnosis of primary or secondary malignancy in the liver is a contraindication to transplantation of the liver, as well as most other organs from the donor. Donor livers are also evaluated by needle biopsy prior to transplantation in order to assess for the presence and extent of macrovesicular steatosis or severity of underlying liver disease. Excessive hepatic fat is a powerful predictor of suboptimal graft function during the perioperative period.

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Authors and Affiliations

  1. Department of Pathology and Laboratory Medicine, Weill Medical College of Cornell University, New York, NY, USA

    Rhonda K. Yantiss MD

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  1. Rhonda K. Yantiss MD
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Correspondence to Rhonda K. Yantiss MD .

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  1. Weill Medical College, Pathology and Laboratory Medicine, Cornell University, 525 East 68th St., New York, 10021, New York, USA

    Rhonda K. Yantiss

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Yantiss, R.K. (2011). Intraoperative Assessment of Donor Livers in the Transplant Setting. In: Yantiss, R. (eds) Frozen Section Library: Liver, Extrahepatic Biliary Tree and Gallbladder. Frozen Section Library. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0043-1_5

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  • DOI: https://doi.org/10.1007/978-1-4614-0043-1_5

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0042-4

  • Online ISBN: 978-1-4614-0043-1

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