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العنوان
Multidetector Computed Tomography Angiography in the Potential Living Donors for Liver Transplantation/
المؤلف
Hagag,Hatem Mohammad Yousef
هيئة الاعداد
باحث / حاتم محمد يوسف محمد حجاج
مشرف / سحر محمد الفقى
مشرف / لبنى عبدالمنعم حبيب
مشرف / منةالله حاتم شلبى
تاريخ النشر
2016.
عدد الصفحات
220.p;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
1/6/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - Radiodiagnosis
الفهرس
Only 14 pages are availabe for public view

from 220

from 220

Abstract

Increasing the number of living-donor liver transplants would allow us to expedite transplant, avoid death on the waitlist, and possibly save more lives by expanding the criteria for transplant. These benefits must always be weighed against the potential risks and complications to the donor, which can be significant.
Computed tomography (CT) is a useful method, not only to determine the hepatic arterial anatomy as well as portal and hepatic venous variations, but also to evaluate the bile ducts, liver volume, and steatosis in potential liver donors.
Selection and evaluation of a living liver donor for adult recipients is a complex process that involves optimizing graft size in relation to the safety of donors and recipients, technical details of liver procurement, and ethical problems of using non-related live donors.
The complex vascular anatomy of the liver and the high incidence of vascular variants reinforce the need for accurate vascular imaging before LDLT. Observed variants must be discussed by the liver transplantation team prior to surgery. Candidates are rarely excluded because of vascular anatomy, but the surgeon frequently alters his plans according to the CT data.
It should be emphasized that the assessment of the potential donor must be individualized and never executed apart from the recipient evaluation; the combination of donor and recipient characteristics help to determine whether they meet consideration for LDLT so Multidetector computed tomography angiography in the potential living donors for liver transplantation is important.