Estimation of liver size for liver transplantation: The impact of age and gender

Choukèr, Alexander; Martignoni, André; Dugas, Martin; Eisenmenger, Wolfgang; Schauer, Rolf; Kaufmann, Inès; Schelling, G.; Löhe, F.; Jauch, Karl‐Walter; Peter, K.; Thiel, Manfred

doi:10.1002/lt.20113

Cited by 107 publications

(135 citation statements)

References 20 publications

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“…Goodness of fit of the formula was tested by analysis of residuals. Formulae deduced from other studies and this study were used to calculate the ESLW using BW, BH, BSA, and gender of these 159 subjects as appropriate [4,[7][8][9]11,12,17,18] . ESLV derived from the respective formulae [4,[7][8][9][10]18] was converted to ESLW by a factor of 1.19 mL/g as derived from analysis of data from this study.…”

Section: Discussionmentioning

confidence: 99%

“…P < 0.05 was considered statistically significant. Regression lines of representative series were drawn and compared with the regression line of this study [4,8,9,12] . All statistical analyses were performed by SPSS Version11.0 program (SPSS, Chicago, IL).…”

Section: Discussionmentioning

confidence: 99%

“…As early as the sixties, it was pointed out that females of the same body size as males have a smaller liver [11] . A study of a wider scale recently has affirmed this concept [12] . Our study was to clarify the above issues by analyzing the right lobe graft weight which was measured directly on the back-table during donor right hepatectomy in healthy live liver donors.…”

Section: Introductionmentioning

confidence: 95%

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Estimating liver weight of adults by body weight and gender

Chan¹,

Liu²,

Lo³

et al. 2006

WJG

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AIM:To estimate the standard liver weight for assessing adequacies of graft size in live donor liver transplantation and remnant liver in major hepatectomy for cancer. METHODS:In this study, anthropometric data of body weight and body height were tested for a correlation with liver weight in 159 live liver donors who underwent donor right hepatectomy including the middle hepatic vein. Liver weights were calculated from the right lobe graft weight obtained at the back table, divided by the proportion of the right lobe on the computed tomography. RESULTS:The subjects, all Chinese, had a mean age of 35.8 ± 10.5 years, and a female to male ratio of 118:41. The mean volume of the right lobe was 710.14 ± 131.46 mL and occupied 64.55% ± 4.47% of the whole liver on computed tomography. Right lobe weighed 598.90 ±117.39 g and the estimated liver weight was 927.54 ± 168.78 g. When body weight and body height were subjected to multiple stepwise linear regression analysis, body height was found to be insignificant. Females of the same body weight had a slightly lower liver weight. A formula based on body weight and gender was derived: Estimated standard liver weight (g) = 218 + BW (kg) x 12.3 + gender x 51 (R 2 = 0.48) (female = 0, male = 1). Based on the anthropometric data of these 159 subjects, liver weights were calculated using previously published formulae derived from studies on Caucasian, Japanese, Korean, and Chinese. All formulae overestimated liver weights compared to this formula. The Japanese formula overestimated the estimated standard liver weight (ESLW) for adults less than 60 kg. CONCLUSION:A formula applicable to Chinese males and females is available. A formula for individual races appears necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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Estimating liver weight of adults by body weight and gender

Chan¹,

Liu²,

Lo³

et al. 2006

WJG

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“…So far, focus has been on medical reasons for this gender-imbalance: there is an increased risk of graft failure in male recipients of female livers (Rustgi et al 2002, Choukèr et al 2004.…”

Section: Live Kidney and Liver Donation Ld And Gender Aspectsmentioning

confidence: 99%

Just love in live organ donation

Zeiler

2008

Med Health Care and Philos

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Emotionally-related live organ donation is different from almost all other medical treatments in that a family member or, in some countries, a friend contributes with an organ or parts of an organ to the recipient. Furthermore, there is a long-acknowledged but not well-understood gender-imbalance in emotionally-related live kidney donation.This article argues for the benefit of the concept of just love as an analytic tool in the analysis of emotionally-related live organ donation where the potential donor(s) and the recipient are engaged in a love relation. The concept of just love is helpful in the analysis of these live organ donations even if no statistical gender-imbalance prevails. It is particularly helpful, however, in the analysis of the gender-imbalance in live kidney donations if these donations are seen as a specific kind of care-work, if care-work is experienced as a labour one should perform out of love and if women still experience stronger pressures to engage in care-work than do men.The aim of the article is to present arguments for the need of just love as an analytic tool in the analysis of emotionally-related live organ donation where the potential donor(s) and the recipient are engaged in a love relation. The aim is also to elaborate two criteria that need to be met in order for love to qualify as just and to highlight certain clinical implications.Keywords: Live organ donation, ethics, love, the just, choice, gender 2 INTRODUCTION Emotionally-related live organ donation (hereafter referred to as LD) is different from almost all other medical treatments in that a family member or, in for example Sweden, a friend contributes with an organ or parts of an organ to the recipient. Furthermore, in emotionally-related live kidney donation (hereafter referred to as LKD) there is a long-acknowledged but not well-understood gender-imbalance. In cases of LKD, previous studies have shown that female partners donate significantly more often than male partners. Mothers also donate significantly more often than fathers (Schicktanz et al 2006, Thiel et al 2005, Bloembergen et al 1996.This article argues for the benefit of the concept of just love as an analytic tool in the analysis of emotionally-related LD where the potential donor(s) and the recipient are engaged in a love relation (hereafter referred to as loving LD). The concept of just love is helpful in the analysis of loving LD even if no gender-imbalance prevails. It is particularly helpful, however, in the analysis of the gender-imbalance in LKD if live donation can be seen as a specific kind of care-work, if care-work is experienced as a labour one should perform out of love, if women still experience stronger pressures to engage in care-work then do men and if the gender-imbalance cannot be fully explained by medical reasons.The aim of the article is i) to present arguments for the benefit of just love as an analytic tool in loving LD, ii) to elaborate two criteria that need to be met in order for love to qualify as just and iii) to highli...

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“…Chouker et al [9] found that the liver weight was best predicted in younger people (16-50 years) by body weight, age and gender. In contrast, in elderly people (51-70 years), the liver weight was best predicted by body weight and age only.…”

mentioning

confidence: 99%