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  • Title: Three-dimensional computed tomography for planning donor hepatectomy.
    Author: Satou S, Sugawara Y, Tamura S, Kishi Y, Kaneko J, Matsui Y, Kokudo N, Makuuchi M.
    Journal: Transplant Proc; 2007; 39(1):145-9. PubMed ID: 17275493.
    Abstract:
    BACKGROUND: An accurate estimation of preoperative volumetric measurements of the donor liver is essential in living donor liver transplantation. METHODS: Three-dimensional (3-D) computed tomography (CT) was applied to 56 living donors. 3-D images of the liver were constructed using the region-growing method and the volume of each sector was measured. RESULTS: The median volume ratios of the left liver, caudate lobe, right paramedian, and lateral sectors were 34%, 4%, 38%, and 25% of the total liver volume, respectively. The shape of the congestive area in the right paramedian sector was properly demonstrated by 3-D CT. The volume of the region corresponded to 32% of the right liver. The actual volume of the graft correlated well with the estimated graft volume (n = .86). CONCLUSIONS: The region-growing method was useful for graft selection and for determining the indication of middle hepatic vein reconstruction in right liver grafts.
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