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Living Donor Liver Transplantation: Surgical Techniques And Innovations, Vivian C. Mcalister Jul 2004

Living Donor Liver Transplantation: Surgical Techniques And Innovations, Vivian C. Mcalister

Vivian C. McAlister

A colleague and I attended a talk about a set of liver transplant experiments in mice, which the speaker had designed to undermine a commonly held immunological belief. My companion (who should have known better) afterward asked me rhetorically, "What's next? Heart transplantation in a tadpole?"

When does the awe-inspiring give way to the commonplace? Technically wonderful surgery is considered ordinary not because it is commonly done but because the holder of this opinion has no image of the technique.

Not long ago, resectional hepatic surgery was followed by the development of orthotopic liver transplantation. Although both techniques have matured …


Health Care In Canada: Provinces Versus The Federal Government, Vivian C. Mcalister Jul 2004

Health Care In Canada: Provinces Versus The Federal Government, Vivian C. Mcalister

Vivian C. McAlister

Transcript: Listen to today's Commentary Introduction: Who speaks best for health care: Paul Martin or the provincial premiers? Vivian McAlister is a transplant surgeon and a professor of surgery in London, Ontario. On Commentary, he says move over Ottawa..the provinces should take the lead in improving medicare. Vivian McAlister: During last month's election campaign Paul Martin set himself up as the saviour of medicare. He was reinforcing an old theme: that Ottawa must keep a close eye on the provinces lest they experiment - looking for different ways to provide health care. The prime minister conveniently ignored the fact that …


Spenderblut Vom Rind Jun 2004

Spenderblut Vom Rind

Vivian C. McAlister

Mit dem Blut von Kühen und Ochsen will ein kanadischer Mediziner den weltweiten Mangel an Blutkonserven beheben. "Unsere Forschungen haben gezeigt, dass Rinderblut in der klinischen Transfusion im Prinzip eingesetzt werden kann", sagt Vivian McAlister, Chirurg am London Health Sciences Centre in Ontario. Zuvor müsse jedoch ausgeschlossen werden, dass das Tierblut Abwehrreaktionen im menschlichen Immunsystem auslöst - eine wahrhaft heikle Aufgabe. Immerhin ergaben erste Versuche, dass rote Blutkörperchen vom Rind verträglicher und zugleich stabiler sind als solche vom Schwein. McAlister hofft nun auf verstärkten Forscherfleiß vor allem im Aids-geplagten Afrika, wo unverseuchtes Blut immer knapper wird. Bereits seit drei Jahren …


Living-Donor Liver Transplantation: Surgical Techniques And Innovations By Tanaka, Koichi Inomata, Yukihiro Kaihara, Santoshi, Vivian C. Mcalister Dec 2003

Living-Donor Liver Transplantation: Surgical Techniques And Innovations By Tanaka, Koichi Inomata, Yukihiro Kaihara, Santoshi, Vivian C. Mcalister

Vivian C. McAlister

Living-donor liver transplantation combines the techniques of hepatic resection and transplantation. The principal difference between living donation of liver and resection is the absolute requirement in the former to maintain the integrity of the liver on each side of the dividing line. To do this, the surgeon must retain the vascular supply and drainage of both sides throughout the dissection, up to the moment of graft removal. In this book, Tanaka and colleagues take us through the surgery in a manner that is at once detailed and exciting, through the generous use of magnificent electronic photography.


Surgical Limits: The Life Of Gordon Murray By Shelly Mckellar, Vivian C. Mcalister Dec 2003

Surgical Limits: The Life Of Gordon Murray By Shelly Mckellar, Vivian C. Mcalister

Vivian C. McAlister

Gordon Murray ranks as Canada’s greatest surgical pioneer, to whom history has been most unkind. Shelley McKellar has written a surgical biography that goes a long way toward explaining how this came about, and gives us a good opportunity to reassess Murray’s extraordinary career.