PREOPERATIVE PLANNING

PREOPERATIVE PLANNING

The decision regarding the type of transplant to be performed is dependent on a variety of patient factors. Intraoperative flexibility is necessary and may change the type of transplant undertaken. A robust plan for adequate venous access is necessary and may require pretransplant venous reconstruction by the inter ventional radiology team or surgical reconstruction. If substantial intraoperative blood loss is predicted, selec tive arterial embolisation may be considered. Commonly this will involve the superior mesenteric artery and coeliac axis, but more selective embolisation can be undertaken if preser vation of the stomach or the pancreaticoduodenal comple planned.