Principles of Multiple Organ Procurement from Cadaver Donors

The need for cadaveric organs other than kidneys for transplantation is increasing. Principles and techniques that allow their procurement without jeopardizing renal recovery are outlined. These include utilization of brain dead donors, careful donor selection, and surgery which minimizes warm ischema while avoiding iatrogenic injury. Utilizing this approach, a variety of combinations of organs have been removed and transplanted resulting in satisfactory functional results.