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논문 기본 정보

자료유형
학술저널
저자정보
Nadiar Mussin (Seoul National University College of Medicine) Marco Sumo (Seoul National University College of Medicine) Kwang-Woong Lee (Seoul National University College of Medicine) YoungRok Choi (Seoul National University Bundang Hospital) Jin Yong Choi (Seoul National University College of Medicine) Sung-Woo Ahn (Seoul National University College of Medicine) Kyung Chul Yoon (Seoul National University College of Medicine) Hyo-Sin Kim (Seoul National University College of Medicine) Suk Kyun Hong (Seoul National University College of Medicine) Nam-Joon Yi (Seoul National University College of Medicine) Kyung-Suk Suh (Seoul National University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.92 No.4
발행연도
2017.4
수록면
214 - 220 (7page)

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Purpose: Liver volumetry is a vital component in living donor liver transplantation to determine an adequate graft volume that meets the metabolic demands of the recipient and at the same time ensures donor safety. Most institutions use preoperative contrast-enhanced CT image-based software programs to estimate graft volume. The objective of this study was to evaluate the accuracy of 2 liver volumetry programs (Rapidia vs. Dr. Liver) in preoperative right liver graft estimation compared with real graft weight.
Methods: Data from 215 consecutive right lobe living donors between October 2013 and August 2015 were retrospectively reviewed. One hundred seven patients were enrolled in Rapidia group and 108 patients were included in the Dr. Liver group. Estimated graft volumes generated by both software programs were compared with real graft weight measured during surgery, and further classified into minimal difference (≤15%) and big difference (>15%). Correlation coefficients and degree of difference were determined. Linear regressions were calculated and results depicted as scatterplots.
Results: Minimal difference was observed in 69.4% of cases from Dr. Liver group and big difference was seen in 44.9% of cases from Rapidia group (P = 0.035). Linear regression analysis showed positive correlation in both groups (P < 0.01). However, the correlation coefficient was better for the Dr. Liver group (R2 = 0.719), than for the Rapidia group (R2 = 0.688).
Conclusion: Dr. Liver can accurately predict right liver graft size better and faster than Rapidia, and can facilitate preoperative planning in living donor liver transplantation.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2017-514-002372407