Preoperative evaluation of donor biliary system with MRCP in living donor liver transplantation

VernacularTitle:应用MRCP术前评估活体肝移植供者胆管系统
Author: Zilin CUI ; Zhijun ZHU ; Yamin ZHANG ; Tao YANG ; Mingsheng HUAI ; Jinzhen CAI
Publication Type:Journal Article
Keywords: Liver transplantation; MRCP; Biliary tract
From: Chinese Journal of Hepatobiliary Surgery 2010;16(6):418-421
CountryChina
Language:Chinese
Abstract: Objective To determine the clinical value of MRCP for peroperative evaluation of donor biliary system in living donor liver transplantation (LDLT). Methods A total of 60 living donors for the LDLT were enrolled in this study. Of the 60 donors with a mean age of 32.2 (19-60), 50were male and 10 female. MRCP was performed before and cholangiography was done during the right lobectomy in these donors. The results of MRCP were compared with those of cholangiography to determine the value of MRCP for typing the biliary system in the donors. Results The preoperative MRCP showed that 40 donors were of type Ⅰ biliary tract, 12 of type Ⅱ , 5 of type Ⅲ and 3 of other types. The intraoperative cholangiography showed that the accordance rate of MRCP was 97.4%,91% and 89% for type Ⅰ , type Ⅱ and other types, respectively. The overall rate of accuracy of MRCP was 95% (57/60). Conlusion MRCP can show types of biliary tract in living donors for liver transplantation to provide evidence for plan of surgery.