Choi Seong Hoon, Goo Hyun Woo, Yoon Chong Hyun
Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Songpa-gu, Seoul, Korea.
Korean J Radiol. 2004 Jul-Sep;5(3):199-209. doi: 10.3348/kjr.2004.5.3.199.
In pediatric living-related liver transplantation, preoperative evaluation of the recipient is important for surgical planning, while the accurate diagnosis of postoperative complications is essential for graft salvage. Multiplanar and three-dimensional imaging using multi-slice spiral CT can be used for preoperative vascular imaging, as well as for evaluating postoperative complications. In this essay, we describe the usefulness of multi-slice CT, combined with a variety of different reconstruction techniques, for the preoperative evaluation of transplant recipients. In addition, we demonstrate the multi-slice CT findings of postoperative complications, including vascular stenosis or thrombosis, bile duct leak or stricture, and extrahepatic fluid collection.
在小儿活体肝移植中,对受体进行术前评估对于手术规划很重要,而准确诊断术后并发症对于挽救移植物至关重要。使用多层螺旋CT进行多平面和三维成像可用于术前血管成像以及评估术后并发症。在本文中,我们描述了多层CT结合各种不同重建技术在移植受体术前评估中的实用性。此外,我们展示了术后并发症的多层CT表现,包括血管狭窄或血栓形成、胆管渗漏或狭窄以及肝外积液。