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Dergiler / İstanbul Kuzey Klinikleri / 2018 / Cilt: 5 - Sayı: 1

Preoperative Evaluation of Liver Volume in Living Donor Liver Transplantation

Tolga ŞAHİN
Sezai YILMAZ
Burak IŞIK
Adil BAŞKIRAN
Ayşegül SAĞIR KAHRAMAN
İpek BALIKÇI ÇİÇEK
Sayfa
1–5
Yayın Tarihi
2022-10-18
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

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.

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Amaç & Hipotez:OBJECTIVE: 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.
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Temel Bulgular & Veri:As a result, 174 donor right hepatectomies were included in the study.
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Sonuç & Katkı: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.
🔬Tür:Araştırma Makalesi
📍Kapsam:2016 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

OBJECTIVE: 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.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.

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Bu Makaleye Atıf Yap

ŞAHİN, T., YILMAZ, S., IŞIK, B., BAŞKIRAN, A., KAHRAMAN, A. S., ÇİÇEK, İ. B. (2022). Preoperative Evaluation of Liver Volume in Living Donor Liver Transplantation. İstanbul Kuzey Klinikleri, Cilt: 5 - Sayı: 1, 1–5. https://ajindex.com/articles/551508

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Kaynakça (10)

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