Diagnostic informativity of the volume MDCT-angiography and MRcholangiography in the pre- and intraoperative periods for the examination of donors of a liver fragment
Annotatsiya
Introduction. The first transplantation of a liver fragment from a living donor was performed in Uzbekistan on February 12, 2018 at the Republican Specialized Scientific Practical Medical Center of Surgery named after acad.V. Vakhidov. This event laid the foundation for a new direction for domestic clinical practice that meets the current level of world medicine development. Aim. The aim of the study was to determine the diagnostic information content of preoperative data of the volume multi detector computed tomography (MDCT) angiography and magnetic resonance cholangiography (MRCG) when compared with intraoperative ones at examining related donors for liver fragment transplantation (LFT). Methods. Total of 88 potential donors of a liver fragment aged from 19 to 58 years (53 men and 35 women) were examined for the period 2017-2019. Sixteen donors were undergone liver resection to obtain a transplant: the right lobe of the livers in 12 people and the left lobe in 4 people. Results. Compared with intraoperative data, the main arteries supplying the transplant planned for resection were identified with MDCT-angiography in 98.4% of cases (P<0.05). Variations of the portal bed according to MDCT-angiography in comparison with intraoperative ones were determined in 93.8% of cases (P<0.05).