الفهرس | Only 14 pages are availabe for public view |
Abstract The evaluation of potential donors should be done methodologically, initially focusing on conditions that would place the donor at increased risk of complications. Preoperative evaluation must also reveal any condition that would adversely affect graft function. Donor well being must always be the primary consideration. The radiologic component of donor evaluation is pivotal in donor selection or exclusion. In this study, 15 potential donors were examined using 64 MDCT. Non enhanced CT scans were mainly used to diagnose the possibility of fatty infiltration, while dual phase spiral CT showed a major role in evaluation of liver parenchyma, exclusion of focal liver diseases and detection of vascular anatomical variant that may alter the surgical procedure. CT volumetry proved to be accurate and easy. The reconstructed 3D images helped to draw a vascular map and create the hepatectomy plane. Thirteen cases were excluded because of different radiological findings including: fatty liver in 7 cases, small left liver lobe in 2 cases, portal vein anomalies in 3 cases, accessory hepatic veins in 2 cases. In conclusion, MDCT is mandatory imaging technique in preoperative evaluation of living donor for liver transplantation. |