Liver procurement is a complex surgical procedure requiring a detailed
knowledge of technique, anatomy as well as anatomical variants. A thorough
assessment of both the recipient and donor is necessary to optimize graft procurement,
prevent complications and the possible loss of a life-saving organ. Standard liver
procurement involves warm dissection of the pertinent structures followed by a rapid
cold perfusion phase and subsequent evisceration. The surgical technique, as well as
common pitfalls and special scenarios are discussed in this chapter with the aim of
providing the reader with a comprehensive understanding of liver procurement.
Keywords: Cold Dissection, Donor Liver Procurement, Hepatic Artery Variant
Anatomy, Preservation Techniques, Warm Dissection.
