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PRODUCED BY AND FOR MEMBERS OF THE DEPARTMENT OF SURGERY August 2016 | Archived Issues

Pharmacy and Therapeutics Committee Approvals

Pharmacy Focus

Highlights of the June meeting of the Pharmacy and Therapeutics Committee are summarized in the PDF link below.

P and T Approvals - June 2016 (PDF)


Mark Your Calendar


Surgery Grand Rounds

Click the "read more" to see information about upcoming Surgery Grand Rounds.


Grand Rounds

Click here to view a schedule of all upcoming grand rounds.


Education Schedule

Click the PDF links below to see the Department of Surgery's education schedule.

Education Schedule - August 2016 (PDF)

Education Schedule - September 2016 (PDF)  


Surgery Scheduling

Click the "read more" for hours and contact information for surgery scheduling.

Share Your News

Know an interesting colleague we should profile? A story we should tell? Submit your ideas, meetings and events for consideration.

Click here to submit your news to Sutures

Paired Exchange Program Facilitates 3 Kidney Transplants

kim-irene

Irene K. Kim, MD

By Irene K. Kim, MD, Director, Kidney Paired Exchange Program

On a Sunday morning in May, the Cedars-Sinai Kidney Transplant Program performed its third successful kidney transplant paired exchange. Six simultaneous operating rooms were run to facilitate three laparoscopic donor nephrectomies and three kidney transplant patients, all of whom are doing well with excellent graft function.

"It was the tremendous effort of the kidney transplant team and the O.R. staff that enabled this paired exchange," said J. Louis Cohen, MD, surgical director of the Kidney Transplant Program.

For renal transplant patients who have a potential living kidney donor, living donor kidney transplant has the best graft outcomes and enables shorter waiting time for transplant. However, patients who are highly sensitized against HLA antigens and have pre-formed antibodies may not be compatible with their living donors, prohibiting transplant.

Paired exchange programs, in which incompatible donor/recipient pairs can be entered, facilitate transplant by allowing pairs to "swap" living donor kidneys with other pairs. Cedars-Sinai participates in several national kidney registries, including the National Kidney Registry and the United Network for Organ Sharing. Kidney paired exchange is another mechanism, in addition to desensitization strategies, that enables transplantation for difficult-to-transplant patients.

The paired exchange that took place in May was an internal chain that was instigated by an altruistic nondirected kidney donor, who was found to be immunologically compatible with a highly sensitized patient incompatible with a friend who was also interested in serving as a living donor. Discovery of this compatible swap set off the chain, which ended with a nonsensitized patient on the deceased donor waiting list.

Hyung Kim, MD, director of the Division of Urology, Brian Benway, MD, and Gerhard Fuchs, MD, were the surgeons who performed the donor surgeries. J. Louis Cohen, MD, Donald Dafoe, MD, and Irene Kim, MD, were the transplant surgeons who performed the renal transplants. The two highly sensitized patients who were transplanted also received additional immunotherapy, under the direction of Stanley Jordan, MD, and members of the Cedars-Sinai Transplant Immunotherapy Program. In addition, kidney paired exchange, living donor and waitlist teams, and particularly, Ellen Shukhman, RN, deserve much of the recognition for orchestrating these transplants.

The Cedars-Sinai kidney transplant team will continue to perform kidney paired exchanges, building on the success of this and previous exchanges. Patients who believe they are not compatible with a potential living donor may not realize they have kidney paired exchange as an option to facilitate their transplant.

For more information regarding Cedars-Sinai Kidney Paired Exchange Program, please contact Irene Kim, MD, director, at 310-248-8503.