González-Chamorro A, Loinaz Segurola C, Moreno González E, Jiménez Romero C, González-Pinto Arrillaga I, Gomez Sanz R, Garcia Garcia I, Manzanera Diaz M, Alonso Casado O
Digestive and Abdominal Organ Transplant Service, University Hospital 12 de Octubre, Madrid Spain.
Hepatogastroenterology. 1998 Mar-Apr;45(20):510-3.
Living related liver transplantation is one of the strategies currently used to increase the donor pool. A preoperative and non-invasive estimate of the donor's liver volume is needed to ensure sufficient functional liver reserve for survival after resection, and to obtain a graft of adequate volume to suit the recipient's features. A method based on a preoperative abdominal computerised axial tomography of the donor, that enables the volume and mass of the whole liver, and the graft, to be calculated is herein described. The compatibility of the estimate with real graft mass after its removal has been proved, and the accuracy of the calculi has been compared with other published methods. Moreover, progressive growth of the recipient liver remnant has been demonstrated in subsequent explorations.
活体亲属肝移植是目前用于扩大供体库的策略之一。术前需要对供体肝脏体积进行无创估计，以确保切除术后有足够的功能性肝储备来维持生存，并获得体积合适的移植物以适应受体的特征。本文描述了一种基于供体术前腹部计算机断层扫描的方法，该方法能够计算整个肝脏和移植物的体积与质量。已证明该估计值与切除后实际移植物质量的兼容性，并将计算结果的准确性与其他已发表的方法进行了比较。此外，在后续检查中已证实受体肝残余的渐进性生长。
