Preoperative evaluation of liver volume in living donor liver transplantation
INTRODUCTION[|]The aim of the present study was to retrospectively evaluate the difference between the preoperative estimated volume and the actual intraoperative graft volume determined in donor right hepatectomies and to evaluate the possible effect of age, gender, and body mass index on the diffe...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2018-02-01
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| Series: | İstanbul Kuzey Klinikleri |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-14227 |
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| author | Adil Baskiran Aysegul Sagir Kahraman Ipek Balikci Cicek Tolga Sahin Burak Isik Sezai Yilmaz |
| author_facet | Adil Baskiran Aysegul Sagir Kahraman Ipek Balikci Cicek Tolga Sahin Burak Isik Sezai Yilmaz |
| author_sort | Adil Baskiran |
| collection | DOAJ |
| description | INTRODUCTION[|]The aim of the present study was to retrospectively evaluate the difference between the preoperative estimated volume and the actual intraoperative graft volume determined in donor right hepatectomies and to evaluate the possible effect of age, gender, and body mass index on the difference.[¤]METHODS[|]A total of 225 donor hepatectomies performed at the center between 2016 and 2017 were evaluated for the study. Left hepatectomies and left lateral segmentectomies were excluded from the analysis. As a result, 174 donor right hepatectomies were included in the study. Volumetric analysis was performed with dynamic hepatic computed tomography (CT), including non-contrast analysis, followed by non-ionic, contrast-enhanced arterial, portal, and hepatic-phase, thin-slice scanning. Volumetric analysis was performed based on the CT images using automatic volume calculating software.[¤]RESULTS[|]The mean preoperatively estimated graft volume was 800+-112 g and the mean intraoperatively measured actual graft volume was 750+-131 g. There was a statistically significant difference (p=0.003). Age and body mass index had a significant impact on the discrepancy between the predicted and actual graft volume, while gender did not.[¤]DISCUSSION AND CONCLUSION[|]A thorough preoperative evaluation of the donor graft volume should be performed in order to prevent donor morbidity and mortality, as well as small-for-size and large-for-size phenomena in the implanted grafts. Physicians working in the field of transplantation should be aware of the fact that a difference of 10% between the predicted and the actual graft volume is usually encountered.[¤] |
| first_indexed | 2024-04-10T14:33:59Z |
| format | Article |
| id | doaj.art-977d000ac05d44999a9e9a55d9666a99 |
| institution | Directory Open Access Journal |
| issn | 2148-4902 |
| language | English |
| last_indexed | 2024-04-10T14:33:59Z |
| publishDate | 2018-02-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | İstanbul Kuzey Klinikleri |
| spelling | doaj.art-977d000ac05d44999a9e9a55d9666a992023-02-15T16:08:41ZengKARE Publishingİstanbul Kuzey Klinikleri2148-49022018-02-01511510.14744/nci.2017.14227NCI-14227Preoperative evaluation of liver volume in living donor liver transplantationAdil Baskiran0Aysegul Sagir Kahraman1Ipek Balikci Cicek2Tolga Sahin3Burak Isik4Sezai Yilmaz5Department of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, TurkeyDepartment of Radiology, Inonu University, Turgut Ozal Medical Center, Malatya, TurkeyDepartment of Biostatistics and Medical Informatics, Inonu University Faculty of Medicine, Malatya, TurkeyDepartment of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, TurkeyDepartment of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, TurkeyDepartment of General Surgery, Inonu University, Liver Transplantation Institute, Malatya, TurkeyINTRODUCTION[|]The aim of the present study was to retrospectively evaluate the difference between the preoperative estimated volume and the actual intraoperative graft volume determined in donor right hepatectomies and to evaluate the possible effect of age, gender, and body mass index on the difference.[¤]METHODS[|]A total of 225 donor hepatectomies performed at the center between 2016 and 2017 were evaluated for the study. Left hepatectomies and left lateral segmentectomies were excluded from the analysis. As a result, 174 donor right hepatectomies were included in the study. Volumetric analysis was performed with dynamic hepatic computed tomography (CT), including non-contrast analysis, followed by non-ionic, contrast-enhanced arterial, portal, and hepatic-phase, thin-slice scanning. Volumetric analysis was performed based on the CT images using automatic volume calculating software.[¤]RESULTS[|]The mean preoperatively estimated graft volume was 800+-112 g and the mean intraoperatively measured actual graft volume was 750+-131 g. There was a statistically significant difference (p=0.003). Age and body mass index had a significant impact on the discrepancy between the predicted and actual graft volume, while gender did not.[¤]DISCUSSION AND CONCLUSION[|]A thorough preoperative evaluation of the donor graft volume should be performed in order to prevent donor morbidity and mortality, as well as small-for-size and large-for-size phenomena in the implanted grafts. Physicians working in the field of transplantation should be aware of the fact that a difference of 10% between the predicted and the actual graft volume is usually encountered.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-14227liverliver transplantation; living donor; radiological investigation; volumetric analysis. |
| spellingShingle | Adil Baskiran Aysegul Sagir Kahraman Ipek Balikci Cicek Tolga Sahin Burak Isik Sezai Yilmaz Preoperative evaluation of liver volume in living donor liver transplantation İstanbul Kuzey Klinikleri liver liver transplantation; living donor; radiological investigation; volumetric analysis. |
| title | Preoperative evaluation of liver volume in living donor liver transplantation |
| title_full | Preoperative evaluation of liver volume in living donor liver transplantation |
| title_fullStr | Preoperative evaluation of liver volume in living donor liver transplantation |
| title_full_unstemmed | Preoperative evaluation of liver volume in living donor liver transplantation |
| title_short | Preoperative evaluation of liver volume in living donor liver transplantation |
| title_sort | preoperative evaluation of liver volume in living donor liver transplantation |
| topic | liver liver transplantation; living donor; radiological investigation; volumetric analysis. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-14227 |
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