Image guidance using two-dimensional illustrations and three-dimensional modeling of donor anatomy during living donor hepatectomy.

Clinical Transplantation
Jinsoo RhuJae-Won Joh

Abstract

For living donor liver transplantation, preoperative imaging is required for the safety of both the donor and the recipient. We previously initiated our image-guidance program using two-dimensional illustrations and three-dimensional modeling in September 2018; herein, we analyzed the resultant changes in the clinical outcomes. Living donors and recipients who underwent liver transplantation between September 2017 and August 2019 were included. Cases with image guidance were compared to those without image guidance regarding the operative outcome, especially bile-duct opening in the graft as well as surgical complications. Among 200 living donor transplantation, 90 transplantations were completed with image guidance. The image-guidance group had a higher rate of laparoscopy (80.9% vs. 97.8%; p < .001) as compared with the group without image guidance. Although there was no difference in the type of bile duct (p = .144), more grafts with single bile-duct openings were found in the image-guidance group (52.7% vs. 80.0%; p = .001). Consequently, achievements in bile-duct openings were superior in the image-guidance group (p = .022). There were no differences in bile leakage, graft failure, or number of deaths during the first mont...Continue Reading

References

Nov 28, 2012·Journal of Hepato-biliary-pancreatic Sciences·Shun-Ichi AriizumiMasakazu Yamamoto
Jul 3, 2013·American Journal of Surgery·Takeshi TakamotoMasatoshi Makuuchi
Aug 9, 2017·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·K S SuhH Kim
Oct 20, 2017·Digestive Surgery·Ho-Seong HanDaniel Cherqui
Mar 27, 2018·The British Journal of Surgery·S K HongK S Suh
Jul 19, 2018·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Choon Hyuck David KwonJae-Won Joh
Jan 25, 2019·Current Opinion in Organ Transplantation·Choon Hyuck David KwonJae-Won Joh
Mar 1, 2019·Annals of Transplantation : Quarterly of the Polish Transplantation Society·Jinsoo RhuJae-Won Joh
Oct 28, 2019·The British Journal of Surgery·J RhuJ-W Joh

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Citations

Mar 13, 2021·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jinsoo RhuJae-Won Joh

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