Document Detail

Web-based image transmission: a novel approach to aid communication in split liver transplantation.
MedLine Citation:
PMID:  19878514     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Split liver transplantation (SLT) is technically demanding and requires good communication between transplant centers. The recipient surgeon receiving a shipped split liver needs detailed information on allocation of inflow and outflow vessels. We describe the first use of an image transmission system to facilitate SLT. METHODS: Twenty cadaver livers undergoing ex situ splitting were studied. Fifteen were shared between the geographically separate Birmingham adult and pediatric centers and five were shared with other UK centers. RESULTS: A total of six to eight images of each split graft were taken with a camera at standardized settings using the National Organ Retrieval Imaging System (NORIS), showing details of appearance, size, and anatomy of allocated inflow and outflow vessels. These were uploaded using a personal digital assistant to a secure website ( The remote recipient surgeon then viewed these images by logging onto the password-protected website. Minimum time interval between division of the hilar vessels and completion of the split procedure was two h, allowing remote surgeon to view their allocated "shipped" graft in advance of commencing surgery. CONCLUSION: This advanced yet simple image transmission system has the potential for routine application in transplant surgery, not only for splitting but also for reporting injuries and graft steatosis.
Chandra S Bhati; Stephen J Wigmore; Sriniwas Reddy; David A Mayer; John A C Buckels; Manas Derek; Darius F Mirza
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Publication Detail:
Type:  Journal Article     Date:  2009-10-30
Journal Detail:
Title:  Clinical transplantation     Volume:  24     ISSN:  1399-0012     ISO Abbreviation:  Clin Transplant     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-05-07     Completed Date:  2010-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710240     Medline TA:  Clin Transplant     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  98-103     Citation Subset:  IM    
Liver Unit, University Hospital Birmingham, Birmingham, UK.
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MeSH Terms
Child, Preschool
Cohort Studies
Computers, Handheld
Liver Diseases / mortality,  pathology,  surgery*
Liver Transplantation*
Middle Aged
Remote Consultation / methods*
Tissue and Organ Harvesting*
Tissue and Organ Procurement / organization & administration
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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