A Comparison of Actual Graft Weight and  Estimated Graft Volume Calculated with New  Software Used for Anatomical and Volumetric  Analysis of the Liver with Computed Tomography  in Living Liver Donors

Özçelik, Ümit; Eren, Eryiğit; Tutpınar, Yıldıray; Urut, Devrim Ulaş; Tokaç, Mehmet; Dınçkan, Ayhan

doi:10.26650/experimed.2021.942836

Cited by 1 publication

(2 citation statements)

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“…Our investigation found no significant difference between EGWs and AGWs. Trends of underestimation or overestimation may be attributed to the type of software used to estimate liver volume [ 13 - 15 ]. The use of conventional CT versus semi-automatic three-dimensional CT volumetry might give different results [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…The use of conventional CT versus semi-automatic three-dimensional CT volumetry might give different results [ 16 , 17 ]. However, differences in graft weight (GW) estimation of ±5% to ±20% were quite common [ 13 , 14 , 16 ]. We recommend that each LT team learn the characteristics of their center’s diagnostic tools to be prepared for any discrepancies in the estimation of GW [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

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Characteristics of living liver donors in a national referral hospital in Indonesia: a 13-year experience with living donor liver transplantation

Lalisang,

Putra,

Zacharia

et al. 2023

Korean J Transplant

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Background Hepatocellular carcinoma and biliary atresia lead to end-stage liver disease, which requires liver transplantation and is linked to increased mortality. Dr. Cipto Mangunkusumo Hospital is the national referral center in Indonesia and is the only center that routinely performs living donor liver transplantation (LDLT). This study presents the characteristics of living liver donors (LLDs) in Indonesia. Methods Using the LDLT registry, we conducted a retrospective analysis of all approved donors from 2010 to 2022. The variables included clinical characteristics of the donors, graft types, and intraoperative and postoperative characteristics. Results The LDLT rate has increased from 5.8 to 8.8 procedures/year in the last 8 years. The average age of the 76 LLDs was 31.8 years. They were predominantly female (59%) and lived within a family relationship (90%). Pediatric LDLT was more frequent than adult LDLT (88% vs. 12%, respectively). Most grafts (86%) were obtained by left lateral sectionectomy, with a median ratio of remnant liver volume to total liver volume of 79.5% (range, 47.7%–85.8%) and a mean graft-to-recipient weight ratio of 2.65%±1.21%. The median intensive care unit length of stay (LOS) was 2 days (range, 1–5 days) and the total hospital LOS was 7 days (range, 4–28 days). The complication rate was 23%. No donor mortality was reported. Conclusions LDLT in Indonesia has increased over the years. The shortage of donors for adult-to-adult liver transplantation is due to cultural differences and challenges in finding eligible donors. This study aims to explain the eligibility criteria of LLDs and contribute to creating a national policy.

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