Royal Prince Alfred Hospital

Location: Missenden Road, Camperdown, NSW

The Transplant Unit of the Royal Prince Alfred Hospital is a well supervised, large volume unit. The unit covers both kidney and liver transplantation, but the primary role of the Transplant Fellow is in liver transplantation. There is also a SET trainee whose primary responsibility is kidney transplantation. The unit performed 85 liver transplants in 2015. In addition, 13 children were transplanted at the Westmead Children’s Hospital. Although the Fellow does not routinely attend paediatric liver transplantation, there is sufficient flexibility to facilitate this if the Fellow has a special interest in paediatric transplantation. The unit performs living donor liver procurement procedures (adult to child) once or twice a year. The Fellow has excellent supervised access to the transplant procedure.

Deceased donor procurement in NSW is shared 50:50 between RPA and Westmead Hospital. In 2015, there were approximately 130 deceased organ donors in NSW. There is sufficient supervised exposure to both kidney-only and multi-organ donation to enable the Fellow to learn the procedures.

Supervisor:

Dr Michael Crawford FRACS
E: Michael.crawfordRPAH@sswahs.nsw.gov.au

Transplant Post:

1 x Liver post

Organ Details:

Liver Transplantation

Opportunities on the Unit:

The Liver Transplant Fellow at RPAH is exposed to a vast amount of operative experience, particularly in transplant. Each year we perform around 85 adult liver transplants. The fellow is present for the vast majority as first assistant or operating surgeon with a supervising consultant.  Furthermore, around 120 deceased donor surgeries take place in NSW/ACT and the fellow is exposed to these when it is clinically safe for them to do so.

Transplant and donor numbers per year:

Summary of General Surgery Trainee Logbooks 2012 - 2014:

 

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

Total

Access Surgery for Haemo-Dialysis (excluding percutaneous access)

56

0

0

110

2

168

Access Surgery for Peritoneal Dialysis

43

9

1

15

1

69

Kidney Transplant

28

0

0

119

0

147

Laparoscopic Kidney Donation

1

0

0

19

0

20

Liver Transplant

1

0

0

41

0

42

Multi-organ Procurement from deceased donor

10

0

0

41

0

51

Open Donor Nephrectomy

1

0

0

0

0

1

Pancreas Transplant

0

0

0

0

0

0

Transplant nephrectomy

3

0

0

11

0

14

TOTAL

143

9

1

356

3

512

 

 
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