Technique des prélèvements multiorganes

The graft is a key when operating transplantation. When available, the graft must be anatomically and functionally perfect; this is a condition for the recipient's survival. Consequently, sampling and preservation must be performed with extreme caution. In 9/10 cases, grafts are removed from a donor in whom brain death is established and in 2/3 cases, several organs are sampled: heart, lungs, liver, kidneys, bowel, bone, cornea and sometimes skin. Whenever possible, maximum number of organs must be removed, in order to reduce the cruel and fatal situation of patients waiting for transplantation. The procedure is complex but well-organized; it necessitates very rapid intervention of several operating teams. Every surgeon must be perfectly aware of all steps of the procedure, as he or she will sometime encounter the necessity of sampling. The human context must be taken into account and the surgeon should keep in mind that although the sampling procedure is carried out on a deceased subject, its aim is to preserve or to keep living another one. Surgeons should make every effort to have perfect knowledge of sampling techniques not only regarding their specialty but also concerning other organs.