2015-2017 - Advanced Renal Transplantation - Interactive Teaching Series


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Organ Procurement and Organ Preservation

14.1 - Organ Procurement and Organ Preservation - Living Donor Techniques

Presenter: Gabriel, Oniscu, Edinburgh, UK
Authors: Gabriel Oniscu

Biography

Gabriel Oniscu graduated from the University of Medicine of Iasi, Romania. He has completed his higher surgical training in Edinburgh, Birmingham and King’s College Hospital, London with a living donor fellowship in Seoul, Korea. He obtained an MD from the University of Edinburgh.

Mr. Oniscu is a consultant transplant surgeon and Honorary Senior Lecturer in Edinburg and is involved in liver, kidney and pancreas transplantation. He is the lead clinician for the living donor kidney transplant programme and has developed the single port approach for living kidney donation in the UK. Mr. Oniscu also leads the development of novel perfusion technologies in Edinburgh.

He has a strong clinical research interest and has been awarded the prestigious NRS Career Research Fellowship and two MRC grants relating to normothermic organ perfusion. He is a lead investigator in several UK studies including the NIHR funded study investigating access to transplantation and transplant outcome measures (ATTOM). He is also the chief investigator for the UK DCD Normothermic regional perfusion service evaluation programme.

Mr. Oniscu chairs the Research, Innovation and Novel Technologies Advisory Group at NHSBT and the British Transplantation Society Clinical Trials committee. He is a Councilor of the European Society for Organ Transplantation and member of the Executive Committee for ESOT Congress 2017. He also sits in the UK Pancreas Advisory Board, the communication committee of the International Liver Transplantation Society and Scientific Programme Committee for ESOT 2017 AND TTS 2015 Congresses.

He is the editor of Abdominal Organ retrieval and bench surgery textbook and of the forthcoming Springer Atlas of Transplantation.

Topic overview:

  1. Living donation
    1. Current challenges
    2. Donor assessment
    3. Donor risks
  2. Donor investigations
    1. Renal function and vascular assessment
    2. Choosing the appropriate kidney
  3. Surgical approaches
    1. Open nephrectomy
    2. Laparoscopic nephrectomy
    3. Hand assisted nephrectomy
    4. Single port nephrectomy
    5. NOTS and Robotic surgery
  4. Tips and tricks for living donation
  5. Challenging donor scenarios

Learning Objectives:

  1. Understand the current challenges in living donor surgery and the risks of donation
  2. Review the different surgical techniques and the role of the different approaches
  3. Understand the principles of donor evaluation and how to choose the appropriate kidney for donation.
  4. Recognise the potential for complex scenario and choose the appropriate surgical approach

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