**Author details**

**Figure 10.** Package of the liver. The first bag filled with UW solution.

The iliac arteries and veins are routinely retrieved for vascular reconstruction during liver and pancreas transplantation. In pancreas transplantation, the common iliac artery, the external iliac artery, and the internal iliac artery are used as a "Y" graft for reconstruction to the stumps of the splenic artery and SMA and then anastomosed to the recipient common iliac artery at the transplantation. Generally, one set of iliac vessels is sent with the liver, and another set is

All the organs will be further inspected on the back table to ensure its quality and suitability for transplantation. Communication with the transplant surgeon at the recipient end is

The liver is inspected in the basin. Five hundred milliliter of UW solution (4°C) is perfused to the portal vein system. The common bile duct is flushed with 200 ml of UW solution by using a syringe. The liver is placed into the first sterile bag filled with 700–1000 ml of UW solution, and the bag is tied. The first bag is then placed into the second sterile bag filed with 1 L cold normal saline and tied. The second bag is placed into the third sterile bag and then tied. The liver in the three-layered bag is then placed in the Iskey filled with ice blocks for transporta-

The pancreas is inspected to ensure its quality for transplantation without injury from the procurement and then is packed by the same method as for the liver. It is placed in the Iskey with retrieved vessels for transportation to the recipient hospital. Often, the pancreas is allocated with the left kidney to the same recipient for simultaneous pancreas-kidney transplantation (SPKT). Care is taken to avoid manipulation over the pancreas. Perfusion to the pancreas on

tion to the recipient hospital with the document secured in the Iskey (**Figure 10**) [7].

the back table is not recommended to avoid perfusion injury and pancreatitis.

strongly encouraged to achieve the best outcome for organ transplantation [9].

sent with the pancreas.

**4.1. Liver**

**4.2. Pancreas**

**4. Organ package and the transportation**

44 Organ Donation and Transplantation - Current Status and Future Challenges

Bulang He1 \*, Xiuwu Han2 and Michael A. Fink3

\*Address all correspondence to: bulang.he@health.wa.gov.au

1 Medical School, The University of Western Australia, Sir Charles Gairdner Hospital, Nedlands, Perth, Australia

2 Beijing Chaoyang Hospital (West Campus), Capital Medical University, Beijing, China

3 Department of Surgery/Austin Health, Medicine Dentistry and Health Sciences, The University of Melbourne, Austraila
