Organ Procurement and Organ Preservation - Living Donor Techniques

renal course

We are very pleased to announce the next interactive, online, webinar, ‘virtual classroom’ teaching modules from the Education Committee of The Transplantation Society.

This program is designed as an advanced curriculum in Renal Transplantation to be made available to members of TTS world wide free of charge. This curriculum will be administered through online webinars from June 2015 at monthly intervals. Experts on the key topics in the field of transplantation will present the interactive webinars. The courses will be designed incorporating the new learning and teaching techniques as described in the TTS Distinguished Educator course. The target audience for this series is doctors and trainees, who have a keen interest in advancing their knowledge in renal transplantation. This will enable them to practice the state-of-the-art medicine anywhere in the world. This series will be CME accredited and those who complete the entire series will be awarded the TTS Certificate in Advanced Renal Transplantation.

Nithya Krishnan

Course Co-Director
Consultant Transplant Nephrologist
University Hospital Coventry &
Warwickshire NHS Trust
Coventry, United Kingdom

Medhat Askar

Course Co-Director
Professor, Department of Pathology and Laboratory Medicine
Texas A&M Health Science Center College of Medicine & Director of Transplant Immunology
Baylor University Medical Center, Dallas, TX, USA



Dr. Gabriel Oniscu, MD, FRCS


Dr. Gabriel Oniscu, MD, FRCS
Consultant Transplant Surgeon and Honorary Clinical Senior Lecturer
Transplant Unit, Royal Infirmary of Edinburgh
Edinburgh, UK

Prof. Stefan G. Tullius, MD, PhD


Prof. Stefan G. Tullius, MD, PhD
Distinguished Joseph E. Murray Chair in Transplantation Surgery
Professor of Surgery, Harvard Medical School
Chief, Division of Transplant Surgery, Brigham and Women’s Hospital
Boston, MA, USA


The online certificate site will be available the end of the day November 22, 2016 through January 22, 2017. After that date, the site will be removed and certificates will no longer be available.  If you need a CME certificate, you must complete the evaluation and certificate process prior to that date; otherwise you will forfeit your credit for the course.

To view the recording of the presentation click here (You must be logged into the wesbite)

To claim your CME credits click here (You must be logged into the wesbite)


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


Necessary Hardware and Software


Acknowledgement of Commercial Support, Satisfactory Completion, Accreditation Statement, Credit Designation Statement, Note for CME Regarding Europeans, Note for CME Regarding Canadians, Program Learning Objectives, Faculty Disclosure


Bibliographic Sources


Policy on Privacy and Confidentiality



Necessary Hardware and Software


  • 1.4GHz Intel® Pentium® 4 or faster processor (or equivalent) for Microsoft® Windows 7, Windows 8 or Windows 8.1
  • Windows 8.1 (32-bit/64-bit), Windows 8 (32-bit/64-bit), Windows 7 (32-bit/64-bit)
  • 512MB of RAM (1GB recommended) for Windows 7 or Windows 8
  • Microsoft Internet Explorer 8 or later; Mozilla Firefox; Google Chrome
  • Adobe® Flash® Player 11.2+

Mac OS

  • 1.83GHz Intel Core™ Duo or faster processor
  • 512MB of RAM (1GB recommended)
  • Mac OS X 10.8, 10.9, 10.10
  • Mozilla Firefox; Apple Safari; Google Chrome
  • Adobe Flash Player 11.2+


  • Ubuntu 14.04; Red Hat Enterprise Linux 6; OpenSuSE 13.1
  • No Add-in support for Linux. Users on Linux can attend meetings in the browser.
  • Google Chrome
  • Adobe Flash Player 11.2+


  • Apple supported devices: iPhone 5S, iPhone 5, iPhone 4S, iPad with Retina display, iPad 3, iPad 2, iPad mini, and iPod touch (4th & 5th generations)
  • Apple supported OS versions summary: iOS 6 and higher
  • Android supported devices: Motorola DROID RAZR MAXX, Motorola Atrix, Motorola Xoom, Samsung Galaxy Tab 2 10.1, Samsung Galaxy S3 & S4, Nexus 7 tablet
  • Android supported OS versions summary: 2.3.4 and higher

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Acknowledgement of Commercial Support

No commercial support was received for this enduring material activity.

Satisfactory Completion

Participants must complete pass the posttest with 80% or better and complete an evaluation form in order to receive a certificate of completion.  Your chosen sessions must be attended in their entirety.  Partial credit of individual sessions is not available.

Accreditation Statement

The Transplantation Society (TTS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement

The Transplantation Society designates this enduring material activity for 1.0 AMA PRA Category 1 CreditTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Note for CME regarding Europeans

Mutual recognition of credits between the American Medical Association and the UEMS-European Accreditation Council for CME. See the link below for more information.

Note for CME regarding Canadians

See link below for the AMA agreement with the Royal College of Physicians and Surgeons of Canada regarding CME credit conversion.

Program Learning Objectives

  1. Identify, explain, analyze the key clinical and physiological concepts of kidney transplantation
  2. Be able to relate and apply the key concepts of kidney transplantation in the day-to-day clinical practice.
  3. Employ a systematic approach in responding to diverse clinical scenarios related to kidney transplantation.
  4. Formulate appropriate management plans for clinical scenarios kidney transplantation
  5. Develop and modify these skills to be able to contribute to the education and professional development of junior colleagues.

Faculty Disclosure

All faculty participating in the continuing medical education programs sponsored by The Transplantation Society are expected to disclose to the program audience any real or apparent conflict(s) of interest related to the content of their presentation(s).

We acknowledge the potential presence of limitations on information, including, but not limited to: data that represents ongoing research; interim analysis; preliminary data; unsupported opinion; or approaches to care that, while supported by some research studies, do not represent the only opinion or approach to care supported by research.

Financial Relationship Key

G-Grant/Research Support
C-Consultant/Scientific Advisor  
S-Speaker ’s Bureau
N-Nothing to disclose

Resolution Key

R1-Restricted to Best Available Evidence & ACCME content validation statement
R2-Removed/Altered Financial Relationship 
R3-Altered Control
R4-Peer Review with 2nd method of resolution

The list below includes all individuals in control of content for this CME activity

Role Last Name First Name Disclosure Resolution
Planner Askar Medhat NTD N/A
Planner Krishnan Nithya NTD N/A
Planner Colarusso Roberto NTD N/A
Speaker Oniscu Gabriel NTD N/A
CME Consultant Xiaong Blia NTD N/A
Planner Woodbury Darren NTD N/A

Bibliographic Sources

  1. Montgomery RA, Gentry SE, Marks WH, Warren DS, Hiller J, Houp J, et al. Domino paired kidney donation: A strategy to make best use of live non-directed donation. Lancet. 2006;368:419–21.
  2. Gentry SE, Segev DL, Simmerling M, Montgomery RA. Expanding kidney paired donations through participation by compatible pairs. Am J Transplant. 2007;7:2361–70.
  3. Ratner LE, Rana A, Ratner ER, Ernst V, Kelly J, Kornfeld D, et al. The altruistic unbalanced paired kidney exchange: proof of concept and survey of potential donor and recipient attitudes. Transplantation. 2010;89:15–22.
  4. Bargman V, Sundaram CP, Berney J, Ernst V, Kelly J, Kornfeld D, et al. Randomized trial of laparoscopic donor nephrectomy with and without hand assistance. J Endo Urol. 2006;20:717–22.
  5. Kok NF, Lind MY, Hansson BM,  Pilzecker D, Mertens zur Borg IR, Knipscheer BC, et al. Comparison of laparoscopic and mini incision open donor nephrectomy: single blind, randomized clinical control trial. Br Med J. 2006;333:221.
  6. Muzaale AD, Massie AB, Wang MC, Montgomery RA, McBride MA, Wainright JL, Segev DL. Risk of end stage renal disease following live kidney donation. JAMA. 2014;311:579–86.
  7. Lentine KL, Segev DL. Understanding and Communicating Medical Risks for Living Kidney Donors: A Matter of Perspective. J Am Soc Nephrol. 2016 Sep 2. pii: ASN.2016050571. [Epub ahead of print]
  8. Matas AJ, Hays RE, Ibrahim HN. Long-Term Non-End-Stage Renal Disease Risks After Living Kidney Donation. Am J Transplant. 2016 Aug 16. doi:10.1111/ajt.14011. [Epub ahead of print] Review.
  9. Mjøen G, Reisaeter A, Hallan S, Line PD, Hartmann A, Midtvedt K, Foss A, Dahle DO, Holdaas H. Overall and cardiovascular mortality in Norwegian kidney donors compared to the background population. Nephrol Dial Transplant. 2012 Jan;27(1):443-7. doi: 10.1093/ndt/gfr303. Erratum in: Nephrol Dial Transplant. 2016 Jan;31(1):170. PubMed PMID: 21636826.
  10. Liu N, Wazir R, Wang J, Wang KJ. Maximizing the donor pool: left versus right laparoscopic live donor nephrectomy--systematic review and meta-analysis. Int Urol Nephrol. 2014 Aug;46(8):1511-9.

Policy on Privacy and Confidentiality

The Transplantation Society (TTS) respects the privacy of visitors to its website. TTS strongly believes that our visitors must be assured that information provided online is used responsibly and appropriately. To protect online privacy, the TTS has implemented the following policy.


  • Information We Collect and How We Use It
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  • Personally Identifiable Information:
    • TTS does not collect personally identifiable information about you unless you choose to provide it. Personal information is collected through membership application and inquiry processes and through other services or procedures that the TTS may implement from time to time. You are not required to submit any personally identifiable information in order to access information in the public areas of our website.
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TTS uses information voluntarily submitted by visitors in the following ways:

  • TTS Services and Products.
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  • Notification of Changes:
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  • Choices Available to the User:
  • TTS provides the following choices regarding the use of your information:
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  • You understand and agree that “perfect” security does not exist anywhere, including on the Internet. When you send your credit card information to us over our website, we encrypt this information between your computer and our server. Other information you send to this site, including email messages, will not be encrypted unless we advise you otherwise. The TTS website is protected by a firewall and monitored for security.

Third Party Links:

    We encourage our users to read the privacy statements of each and every web site that they visit. This privacy statement applies solely to the TTS website.

Legal Disclaimer:

  • The TTS website is designed to provide users with educational activities, scientific and meeting information, current societal news, public policy information and other needs for transplant professionals. This information is not the same as retaining experts in these fields for advice. Nothing contained in this website is to be considered as the rendering of legal, medical, professional or other advice for specific cases, and users are responsible for obtaining such advice from their own physicians. The information contained on this site is intended for educational, background and informational purposes only.

February 2, 2013


The Transplantation Society 2016