How to estimate the size of the donor liver

Transplant International : Official Journal of the European Society for Organ Transplantation
H MäkisaloK Höckerstedt

Abstract

Of readily available methods to estimate the donor liver size, measurement of the body circumference at the xiphoid level (xiphoid measure) appeared to be the most accurate in the present prospective study of 60 donors and 57 recipients (r = 0.64, P = 0.0001). The estimated liver volume could be calculated using the equation: bloodless liver volume (1) = 1.44 x xiphoid measure (m). The difference between donor and recipient xiphoid measures was significantly higher in slowly recovering patients than in those recovering uneventfully (7 +/- 7 cm vs. - 5 +/- 8 cm, P < 0.001). The bloodless donor liver volume measured by water displacement averaged 1249 +/- 230 ml and had increased by 3 weeks posttransplant by 64 +/- 28% as determined using computed tomography. The volume of the liver graft seemed to adapt to the recipient as it correlated positively with body weight (r = 0.64, P < 0.01) and negatively with the age of the recipient (r = -0.42, P < 0.01). The liver graft volume seemed to increase less markedly in patients with a slow recovery than in those with an uncomplicated recovery (37% +/- 15% vs. 68% +/- 24%, P < 0.001). We conclude that a simple measurement of the body circumference at the xiphoid level can be used to estima...Continue Reading

References

Feb 1, 1989·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·H A WynneO F James
Mar 1, 1989·Journal of Hepatology·H SatoA Takada
Apr 1, 1989·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·K TaraoT Fujiwara
Sep 1, 1988·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·G MarchesiniE Pisi
Mar 1, 1987·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·I KamT E Starzl
Dec 1, 1968·Radiology·F H DeLand, W A North

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Citations

Apr 27, 2004·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Alexander ChoukèrManfred Thiel
Oct 28, 2009·Transplantation Proceedings·R PaluszkiewiczM Krawczyk
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·M KrawczykJ Pawłowska

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