1.Clinical Efficacy of Pretransplant Magnetic Resonance Cholangiography of Donor for Living Donor Liver Transplantation.
SeungWan PARK ; Gyu seong CHOI ; JunChul JUNG ; Gyuseok CHO ; EungJin SHIN ; ChulWan LIM ; HyungChul KIM ; Ok Pyung SONG
The Journal of the Korean Society for Transplantation 2010;24(4):311-315
BACKGROUND: Hepatobiliary and vascular structure anatomy must be understood to ensure donor safety during living donor liver transplantation (LDLT). The purpose of this study was to determine the role of pretransplant magnetic resonance cholangiography (MRC) for understanding the anatomy. METHODS: Eighteen LDLT were analyzed retrospectively through medical records and radiological images. Pretransplant MRC and intraoperative cholangiography (IOC) were reviewed to evaluate the accuracy of pretransplant MRC. RESULTS: The MRC results of 13 donors were acceptable for a living donor operation. However, 5 donor MRC results required further evaluation to identify the biliary anatomy by IOC. In 2 cases, the use of an intravenous low-dose morphine injection helped to obtain a more qualified MRC image. CONCLUSIONS: Despite the small study size, the results showed that MRC can help provide information on donor biliary anatomy to ensure a safe donor operation.
Cholangiography
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Dietary Sucrose
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Humans
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Liver
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Liver Transplantation
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Living Donors
;
Magnetic Resonance Spectroscopy
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Magnetics
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Magnets
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Medical Records
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Morphine
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Retrospective Studies
;
Tissue Donors