한국간담췌외과학회지 (Annals of Hepato-Biliary-Pancreatic Surgery)

  • 제26권4호
  • /
  • Pages.308-312
  • /
  • 2022
  • /
  • 2508-5778(pISSN)
  • /
  • 2508-5859(eISSN)
한국간담췌외과학회 (The Korean Association of Hepato-Biliary-Pancreatic Surgery)
권호 표지
DOI QR코드

DOI QR Code

Preoperative estimation of hemi-liver volume using standard liver volume and portal vein diameter ratio in living donor liver transplantation

  • Sung-Min Kim (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Amro Hasan Ageel (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shin Hwang (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Dong-Hwan Jung (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Tae-Yong Ha (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Gi-Won Song (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Gil-Chun Park (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Chul-Soo Ahn (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Deok-Bog Moon (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2022.05.18
  • 심사 : 2022.06.24
  • 발행 : 2022.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Backgrounds/Aims: Although body surface area (BSA)-based standard liver volume (SLV) formulae have been used for living donor liver transplantation and hepatic resection, hemi-liver volume (HLV) is needed more frequently. HLV can be assessed using right or left portal vein diameter (RPVD or LPVD). The aim of this study was to validate the reliability of using portal vein diameter ratio (PVDR) for assessing HLV in living liver donors. Methods: This study included 92 living liver donors (59 males and 33 females) who underwent surgery between January 2020 and December 2020. Computed tomography (CT) images were used for measurements. Results: Mean age of donors was 35.5 ± 7.2 years. CT volumetry-measured total liver volume (TLV), right HLV, left HLV, and percentage of right HLV in TLV were 1,442.9 ± 314.2 mL, 931.5 ± 206.4 mL, 551.4 ± 126.5 mL, and 64.6% ± 3.6%, respectively. RPVD, LPVD, and main portal vein diameter were 12.2 ± 1.5 mm, 10.0 ± 1.3 mm, and 15.3 ± 1.7 mm, respectively (corresponding square values: 149.9 ± 36.9 mm2, 101.5 ± 25.2 mm2, and 237.2 ± 52.2 mm2, respectively). The sum of RPVD2 and LPVD2 was 251.1 ± 56.9 mm2. BSA-based SLV was 1,279.5 ± 188.7 mL (error rate: 9.1% ± 14.4%). SLV formula- and PVDR-based right HLV was 760.0 ± 130.7 mL (error rate: 16.2% ± 13.3%). Conclusions: Combining BSA-based SLV and PVDR appears to be a simple method to predict right or left HLV in living donors or split liver transplantation.

키워드

참고문헌

  1. Hwang S, Lee SG, Lee YJ, Sung KB, Park KM, Kim KH, et al. Lessons learned from 1,000 living donor liver transplantations in a single center: how to make living donations safe. Liver Transpl 2006;12:920-927. 
  2. Vernuccio F, Whitney SA, Ravindra K, Marin D. CT and MR imaging evaluation of living liver donors. Abdom Radiol (NY) 2021;46:17-28. 
  3. Kwon HJ, Kim KW, Jang JK, Lee J, Song GW, Lee SG. Reproducibility and reliability of computed tomography volumetry in estimation of the right-lobe graft weight in adult-to-adult living donor liver transplantation: Cantlie's line vs portal vein territorialization. J Hepatobiliary Pancreat Sci 2020;27:541-547. 
  4. Lim MC, Tan CH, Cai J, Zheng J, Kow AW. CT volumetry of the liver: where does it stand in clinical practice? Clin Radiol 2014;69:887-895. 
  5. Yang X, Yang JD, Yu HC, Choi Y, Yang K, Lee TB, et al. Dr. Liver: a preoperative planning system of liver graft volumetry for living donor liver transplantation. Comput Methods Programs Biomed 2018;158:11-19. 
  6. Mochizuki K, Takatsuki M, Soyama A, Hidaka M, Obatake M, Eguchi S. The usefulness of a high-speed 3D-image analysis system in pediatric living donor liver transplantation. Ann Transplant 2012;17:31-34. 
  7. Wang F, Pan KT, Chu SY, Chan KM, Chou HS, Wu TJ, et al. Preoperative estimation of the liver graft weight in adult right lobe living donor liver transplantation using maximal portal vein diameters. Liver Transpl 2011;17:373-380. 
  8. Takeshige K, Kuroda H, Fukaya Y, Suzuki H, Hasegawa M, Yamamoto S. The role of portal blood factors in regeneration of the liver. World J Surg 1982;6:603-609. 
  9. Tongyoo A, Pomfret EA, Pomposelli JJ. Accurate estimation of living donor right hemi-liver volume from portal vein diameter measurement and standard liver volume calculation. Am J Transplant 2012;12:1229-1239. 
  10. Mosteller RD. Simplified calculation of body-surface area. N Engl J Med 1987;317:1098. 
  11. Hwang S, Ha TY, Song GW, Jung DH, Ahn CS, Moon DB, et al. Quantified risk assessment for major hepatectomy via the indocyanine green clearance rate and liver volumetry combined with standard liver volume. J Gastrointest Surg 2015;19:1305-1314. 
  12. Gondolesi GE, Yoshizumi T, Bodian C, Kim-Schluger L, Schiano T, Fishbein T, et al. Accurate method for clinical assessment of right lobe liver weight in adult living-related liver transplant. Transplant Proc 2004;36:1429-1433. 
  13. Lee WC, Lee CS, Soong RS, Lee CF, Wu TJ, Chou HS, et al. Split liver transplantation in adults: preoperative estimation of the weight of right and left hemiliver grafts. Liver Transpl 2011;17:93-94. 
  14. Sgro JC, Charters C, Chandler JG, Grambort DE, Orloff MJ. Site of origin of the hepatotrophic portal blood factor involved in liver regeneration. Surg Forum 1973;24:377-379. 
  15. Pomposelli JJ, Tongyoo A, Wald C, Pomfret EA. Variability of standard liver volume estimation versus software-assisted total liver volume measurement. Liver Transpl 2012;18:1083-1092. 
  16. Hashimoto T, Sugawara Y, Tamura S, Hasegawa K, Kishi Y, Kokudo N, et al. Estimation of standard liver volume in Japanese living liver donors. J Gastroenterol Hepatol 2006;21:1710-1713. 
  17. Yuan D, Lu T, Wei YG, Li B, Yan LN, Zeng Y, et al. Estimation of standard liver volume for liver transplantation in the Chinese population. Transplant Proc 2008;40:3536-3540. 
  18. Poovathumkadavil A, Leung KF, Al Ghamdi HM, Othman Iel H, Meshikhes AW. Standard formula for liver volume in Middle Eastern Arabic adults. Transplant Proc 2010;42:3600-3605. 
  19. Urata K, Kawasaki S, Matsunami H, Hashikura Y, Ikegami T, Ishizone S, et al. Calculation of child and adult standard liver volume for liver transplantation. Hepatology 1995;21:1317-1321. 
  20. Hwang S, Lee SG, Lee YJ, Park KM, Jeon HB, Kim PN, et al. Calculation of standard liver volume of Korean adults. Korean J Hepatobiliary Pancreat Surg 1997;1:59-65. 
  21. Lee SG, Park KM, Hwang S, Lee YJ, Kim KH, Ahn CS, et al. Adult-to-adult living donor liver transplantation at the Asan Medical Center, Korea. Asian J Surg 2002;25:277-284. 
  22. Feng LM, Wang PQ, Yu H, Chen RT, Wang J, Sheng X, et al. New formula for predicting standard liver volume in Chinese adults. World J Gastroenterol 2017;23:4968-4977. 
  23. Yang G, Hwang S, Song GW, Jung DH. Comparison of skeletal muscle index-based formula and body surface area-based formula for calculating standard liver volume. Ann Hepatobiliary Pancreat Surg 2021;25:192-197.