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Document Type

Original Article

Abstract

Background: The only therapy option for end-stage liver disease is liver transplantation while living donor liver transplantation (LDLT) has emerged as a substitute. Evaluation of the preoperative volume is crucial for both the donor and the recipient. To conserve the recipient from small-for-size phenomena, the calculated volume-to-weight ratio of the graft should be at least 0.8%, and it should be 3% to prevent large-for-size phenomena. To prevent the donor from suffering potentially fatal repercussions, the volume of the donor's liver should be at least 30%. Furthermore, the liver graft shouldn't be too large because compression might result in liver necrosis and hinder the healing of the wound, both of which could be catastrophic for the recipient. Aim of the Work: To compare manual and automated CTV in determining the graft weight in living donor liver transplantation in relation to intra-operative graft volume Patients and Methods: This prospective observational study was performed at the National hepatology and Tropical Medicine Research Institute. Results: 40 cases were included with a mean age of 28.23 years and a mean BMI was 25.2 as regards sex there was a male predominance 65% vs female 35%. There was a significant Difference between Surgical and Automated and a Difference between Surgical and Manual estimations. Conclusion: Automated CT liver volumetry results in reasonable volumetric assessments that can be adequately accurate for estimation of weight/volume of liver graft for operation.

Keywords

Living Donor Liver Transplantation (LDLT), Computed Tomography Volumetry (CTV).

Subject Area

Radiology & Radiodiagnosis

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