Extraperitoneal pancreas transplantation: A technical note
Sanem Güler Çimen1, Sertaç Çimen2, Eyüp Kahveci3, Michele Molinari4
1Department of General Surgery, Health Sciences University, Dışkapı Training and Research Hospital, Ankara, Turkey
2Department of Urology and Kidney Transplantation, Health Sciences Universtiy, Dışkapı Training and Research Hospital, Ankara, Turkey
3Turkish Transplant Foundation, Ankara, Turkey
4University of Pittsburgh Medical Center, Pittsburgh, USA
Keywords: Pancreas; pancreas transplantation; pancreatitis; rejection; surgical; technique; transplantation; type 1 diabetes; vascular thrombosis
Abstract
Simultaneous pancreas-kidney transplantation is the best treatment of choice for patients with type 1 diabetes and end-stage renal failure. Despite the well-known technique of kidney transplantation, there is no general consensus on the most efficient technique for pancreas transplantation. Successful outcome of pancreas transplantation largely depends on the operating surgeon’s expertise and donor organ quality. However, donor organ quality is getting worse than before due to the worldwide epidemic of obesity. One aspect to improve is the surgical technique during which the organ is prepared and transplanted. In this article, we report a new surgical technique for pancreas transplantation to retroperitoneal region with enteric drainage by only a few centimeters of peritoneal violation and describe the possible advantages of this technique.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.