Post-operative imaging anatomy in liver transplantation

Chupetlovska, Kalina; Borhani, Amir A.; Dasyam, Anil K.; Windt, Dirk J. van der; Tevar, Amit D.; Furlan, Alessandro

doi:10.1007/s00261-020-02440-7

Cited by 8 publications

(1 citation statement)

References 16 publications

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“…In smaller adults and older children, left lobe of the liver with middle and left hepatic vein drainage can be utilized as a viable graft .The most frequent procedure is a right hepatectomy with a resection plane just to the right (about 1 cm) of the middle hepatic vein. 3 The alternate method is a left hepatectomy, in which the liver is often divided into two parts in a similar plane which is reserved for those where the small-sized liver graft is adequate. For smaller pediatric patients, left lateral segmentectomy is specifically used.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Liver Transplant Complications—A Pictorial Review

Ethiraju,

Arunachalam,

Vijayaragavan

et al. 2023

Indographics

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Liver transplantation is the most definitive treatment for decompensated chronic liver diseases, acute hepatic failure, and localized hepatocellular carcinomas. With the widespread use of extensive preop evaluation and advanced surgical techniques, the success rate of liver transplantation has dramatically risen over the decade. In a world of increasing demand for liver donors from brain dead donors, a rising trend is seen in the acceptance of living donor liver transplantation procedures. However, postoperative surveillance needs a lower threshold for early imaging to identify the most dreaded complications for salvaging the graft. This pictorial essay aims to categorize the postliver transplantation complications and various imaging findings to diagnose them. The complications can be broadly classified into vascular and nonvascular complications. The most important concern among vascular complications is hepatic artery thrombosis, which frequently results in graft failure. The nonvascular complication comprises biliary origin, infection, and immune response. Multimodality imaging is the need of the hour, which includes ultrasound as the primary tool for gross evaluation, followed by triphasic computed tomography and magnetic resonance imaging (MRI). Newer techniques in MRI, like diffusion-weighted imaging, arterial spin labeling, diffusion kurtosis imaging, blood oxygenation-level dependent, and magnetic resonance elastography, can also be used to diagnose these complications. Interventional management through minimal access has become the first line of management in certain vascular and nonvascular complications, which can salvage the graft.

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Section: Surgical Techniquesmentioning

confidence: 99%