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Divisions: Transplant Surgery

Welcome to the Division of Transplant Surgery

Contact Information for Transplantation Surgery

www.vcuhealth.org/transplant/

History of Hume-Lee Transplant Program

Dr. Hume, Dr. Lee & transplant team

Having been pioneered by the late Dr. David Hume and further developed by Dr. H. M. Lee, the Hume-Lee Transplant program at Virginia Commonwealth University's Medical College of Virginia Hospitals has existed since 1957. More about our History

The Clinical Transplant program includes hepatic, renal and pancreatic transplantation. The Thoracic Organ Transplant program is maintained by the Division of Cardiac Surgery and is a separate entity.

Clinical Programs

A geographically separate 27-bed fully monitored, intermediate care step-down unit exists for the specialized care of renal, hepatic, and pancreatic transplant recipients, with appropriately trained specialty nursing service available. OR image Approximately 700 surgical procedures are performed on transplant and dialysis patients each year, including dialysis access surgery, hepatobiliary procedures, preparatory surgical procedures in anticipation of renal transplantation, living donor nephrectomy, as well as a number of general surgical procedures related to conditions resulting from the transplant itself or the recipients, or for complications arising in the dialysis and endstage liver disease patient populations. An additional 30—40 deceased donor multiorgan recovery surgeries/year also are performed by our service.

VCU Medical Center's Liver Transplant program began in 1984. Since that time over 1000 liver transplantations have been done with an actuarial one-year patient survival in the range of 88%. The Transplant Service is manned by the Clinical Transplant Fellow, a PGY-III, two PGY-IIs and PGY- I residents, four Nurse Practitioners, a dedicated Clinical Pharmacist, and one or two medical students.

Resident Education

Six liver transplant coordinators and six kidney transplant coordinators are also assigned to this service full time. For the PGY-III "Chief " resident, this is an eight-week rotation on a very busy operating service, where he/she is introduced for the first time to vascular surgical technique. While serving as an Operating Surgeon on 40 to 50 vascular access procedures, as well as a number of peritoneal access procedures, general surgical procedures population in the same high-risk patient population, the Chief Resident will gain vast experience. His/her role as assistant on liver, renal and pancreatic transplant procedures is invaluable to surgical education in terms of technique and development of patient care skills, and clinical surgical judgment. Although this rotation is one of the most demanding during residency, most residents consider it to be one of the most important in terms of their surgical growth and development. We also have an ASTS-Approved (liver, kidney) Transplant Surgery Fellowship in continual operation since the 1960s.

Research Opportunities

In addition to clinical responsibilities, the Transplant Surgical Fellow and surgical residents have the opportunity to participate in clinical and basic experimental transplantation and transplant immunology. See a list of current Research Studies.

Basic science research looks at cytokines, pancreatic allograft immunological interactions and cytomegalovirus infection. Clinical research is ongoing defining the immunology and clinical behavior of cadaveric cryopreserved venous allografts for lower extremity arterial revascularization. We currently have two NIH grants (total $5 million) to study living donor liver transplants and liver cancer.

The Tissue Typing and Immunology Laboratories, in addition to supporting and participating in all of the above projects, is directly involved in research dealing with histocompatibility, lymphocyte subsets, antithymocyte globulin, serological reactions to transplantation and the field of antigens and antibodies.

The Division of Transplant Surgery has undertaken protocols in the pediatric liver transplant population and conducting the necessary research in organ preservation to further develop the non-heart beating deceased donor program. All members of the transplant team are involved in ongoing clinical trials designed to evaluate newer immunosuppressive and pro-coagulant agents, and antilymphocyte preparations in the renal, hepatic and pancreatic transplant populations. Extensive laboratory facilities, full-time Ph.D. Molecular Biologist, technicians, and local and federal grants support basic research activities.

Conferences

Transplant Teaching Conferences are held weekly which include Journal Club, Division D&C and various in-house and national speakers. Transplant Research Conferences are held twice monthly and daily multidisciplinary teaching rounds are held on the Transplant Unit, where patient care issues and strategies for management are discussed in detail.

Training Programs

ASTS Accredited: Clinical Transplant Fellow

Faculty

Marc P. Posner, MD, Division Chair
Adrian H. Cotterell, MD
Pamela Marie Kimball, PhD
Anne L. King, MD
Amit Sharma, MD, MPhil

Contact Info

Location/Delivery Address:
West Hospital
, 9th Floor, South Wing
1200 E. Broad St.
Richmond, VA 23298
transplant@mcvh-vcu.edu

Mailing Address:
P.O. Box 980057
Richmond, VA 23298-0057

Phone: (804) 828-9298
Fax: (804) 828-4858


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SURGERY DIVISIONS

Cardiothoracic Surgery

Oral & Maxillofacial Surgery

Pediatric Surgery

Plastic & Reconstructive Surgery

Surgical Oncology

Transplantation Surgery

Surgical Urology

Vascular Surgery

 

 

last updated: 08/01/2014