The role of intraoperative ultrasonography in detection of hepatic vein variations in living donor liver transplantation

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dc.authoridAyhan Dinçkan / 0000-0003-1395-333X
dc.authorscopusidAyhan Dinçkan / 8656794300
dc.authorwosidAyhan Dinçkan / AAO-2633-2020
dc.contributor.authorKesimal,Ugur
dc.contributor.authorCeken, Kagan
dc.contributor.authorKabaalioglu, Adnan
dc.contributor.authorDinçkan,Ayhan
dc.contributor.authorDurmaz, Emel
dc.contributor.authorCubuk, Metin
dc.contributor.authorApaydin, Ali
dc.contributor.authorSindel, Timur
dc.date.accessioned2021-01-05T10:07:02Z
dc.date.available2021-01-05T10:07:02Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: With advances in surgical techniques and immunosuppression, liver transplantation has become the most effective treatment of acute and chronic liver failures. Evaluation of vascular anatomy and detection of hepatic vascular variations prior to surgery, especially transplantation surgery, can help reduce complications in both the donor and the recipient. Intraoperative ultrasonography (IOUS) is known to be beneficial during planning of the transplantation surgery, and can help direct the surgery itself. Objectives: To our knowledge, there are no existing studies that evaluate the number and diameter of segment 5 and 8 branches that need to be anastomosed with IOUS. Patients and methods: In this study, considering surgical anatomical evaluation as the gold standard, IOUS findings were compared to computed tomography angiography (CTA) findings. 40 patients were included in the study. Results: The average diameters of segment 8 branches that were anastomosed and not anastomosed were significantly different when measured by IOUS (p = 0.016); however, no such statistically significant difference was found in measurements made with CTA (p = 0.89). Conclusion: CTA is superior to IOUS in detecting segment 5 and 8 veins draining into the middle hepatic vein. However, IOUS is more accurate in predicting which vessels are going to be anastomosed. For a complete and accurate assessment, both imaging modalities should be used to complement each other, and their respective advantages and disadvantages should be known.en_US
dc.identifier.citationKesimal, U., Çeken, K., Kabaalioğlu, A. et al. The role of intraoperative ultrasonography in detection of hepatic vein variations in living donor liver transplantation. J Ultrasound (2021). https://doi.org/10.1007/s40477-020-00544-wen_US
dc.identifier.doi10.1007/s40477-020-00544-wen_US
dc.identifier.issn1876-7931en_US
dc.identifier.pmid33389707en_US
dc.identifier.scopus2-s2.0-85098691310en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://doi.org/10.1007/s40477-020-00544-w
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1300
dc.identifier.wosWOS:000604219500001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorDinçkan, Ayhan
dc.language.isoenen_US
dc.publisherSpringeen_US
dc.relation.ispartofJournal of Ultrasounden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCT Angiographyen_US
dc.subjectHepatic Veinen_US
dc.subjectIntraoperative Ultrasonographyen_US
dc.subjectLiver Transplantationen_US
dc.titleThe role of intraoperative ultrasonography in detection of hepatic vein variations in living donor liver transplantationen_US
dc.typeArticleen_US

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