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Surgical Decision Making pp 141–155Cite as

Management of the Most Difficult Perioperative and Technical Challenges in Abdominal Transplantation

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Abstract

Transplant surgery is one of the most challenging surgical subspecialties and requires broad training in a wide array of general, vascular, gastrointestinal, hepato-pancreatico-biliary, and pediatric surgery as well as urology procedures. Despite the surgeons’ comprehensive training, technically extremely difficult situations can arise during transplant procedures that not only require technical mastery but also a high degree of flexibility, creativity, swiftness, and experience. Some of these situations are unexpected challenges, which may include unforeseen conditions that were not present or recognized on previous imaging studies, sudden intraoperative complications or anatomical variants that prevent the execution of a standard procedure. This chapter focuses on the diagnosis and treatment of these types of unusual or unforeseen conditions and technical challenges in abdominal transplantation, which may occur intraoperatively but also immediately pre- or posttransplant. Knowledge of these complications is crucial in preventing poor graft and patient outcome.

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Authors and Affiliations

  1. Medstar Georgetown University Hospital, Medstar Georgetown Transplant Institute, 3800 Reservoir Road NW, 2 PHC Building, Washington, DC, 20007, USA

    Chirag S. Desai M.D. & Yong Kyong Kwon M.D.

  2. Transplant Center and Department of Surgery, Upstate Medical University, 750 E. Adam Str., Syracuse, NY, 13210, USA

    Mark R. Laftavi M.D., Vaughn Whittaker M.D., F.A.C.S. & Rainer W. G. Gruessner M.D.

Authors
  1. Chirag S. Desai M.D.
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  2. Yong Kyong Kwon M.D.
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  3. Mark R. Laftavi M.D.
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  4. Vaughn Whittaker M.D., F.A.C.S.
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  5. Rainer W. G. Gruessner M.D.
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Correspondence to Rainer W. G. Gruessner M.D. .

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Desai, C.S., Kwon, Y.K., Laftavi, M.R., Whittaker, V., Gruessner, R.W.G. (2016). Management of the Most Difficult Perioperative and Technical Challenges in Abdominal Transplantation. In: Surgical Decision Making. Springer, Cham. https://doi.org/10.1007/978-3-319-29824-5_14

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  • DOI: https://doi.org/10.1007/978-3-319-29824-5_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29822-1

  • Online ISBN: 978-3-319-29824-5

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