Multivisceral Transplantation

The transplantation of three or more abdominal organs en bloc, namely the liver together with the pancreatoduodenal complex, the stomach as well as the small bowel with/without the right hemicolon. Multivisceral transplantation is most often used in primary malignancies of the bile tract, duodenum, or stomach with secondary liver involvement.
References in periodicals archive ?
Although there are different classifications for the procedure, the most common one classifies it into four groups, according to the inclusion of the liver and/or the stomach in the graft: isolated, liver--intestinal, multivisceral, and modified multivisceral transplantation (3).
After showing the beneficial effect of spleen transplantation in promoting tolerance in animal experiments, a recent research demonstrated that adding the spleen to the multivisceral transplantation graft yielded better outcomes in terms of low acute rejection (AR), without altering the incidence of GVHD (9, 10).
It represents the "Achilles heel" of multivisceral transplantation.
Some authors have successfully performed SBT and multivisceral transplantation across a positive crossmatch (29).
Transplantation of the spleen: effect of splenic allograft in human multivisceral transplantation.
Staged abdominal closure after small bowel or multivisceral transplantation.
Technical advances for abdominal wall closure after intestinal and multivisceral transplantation.
Long-term survival, nutritional autonomy, and quality of life after intestinal and multivisceral transplantation.
Intestinal and multivisceral transplantation at Indiana University: 6 years' experience with 100 cases.
Current status of small bowel and multivisceral transplantation.
Present prospects and future perspectives of intestinal and multivisceral transplantation.
The Starzl with whom we are acquainted was ready to enter into combat with anyone - whether members of an institutional review board, bioethicists, fellow transplanters, or doyens of surgery - who deterred or tried to dissuade him from carrying out such drastic experimental procedures as multiple organ or multivisceral transplantations in desperate attempts to save the lives of dying children.