Management of the most difficult perioperative and technical challenges in abdominal transplantation

Chirag S. Desai, Yong Kyong Kwon, Mark R. Laftavi, Vaughn Whittaker, Rainer W.G. Gruessner

Research output: Chapter in Book/Report/Conference proceedingChapter


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.

Original languageEnglish (US)
Title of host publicationSurgical Decision Making
Subtitle of host publicationBeyond the Evidence Based Surgery
PublisherSpringer International Publishing
Number of pages16
ISBN (Electronic)9783319298245
ISBN (Print)9783319298221
StatePublished - Jan 1 2016
Externally publishedYes


  • Intestinal transplantation
  • Intraoperative complications
  • Intraoperative morbidity
  • Intraoperative mortality
  • Intraoperative safety measures
  • Kidney transplantation
  • Liver transplantation
  • Outcome
  • Pancreas transplantation
  • Perioperative complications
  • Technical challenges
  • Technical complications

ASJC Scopus subject areas

  • Medicine(all)


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