World Journal of Surgery

, Volume 37, Issue 1, pp 202–207 | Cite as

Relationship between Preoperative Volume and Weight of the Right Liver Lobe Graft, with and without the Middle Hepatic Vein, in Living-Donor Transplantation

  • Gilberto PeronJr
  • Alcides A. Salzedas Netto
  • Jorge Padilla Mancero
  • Marcelo Augusto Fontenelle RibeiroJr
  • José Luis Copstein
  • Adávio de Oliveira e Silva
  • Luiz Augusto Carneiro D’Albuquerque
  • Adriano Miziara Gonzalez



The aim of this study was to assess the relationship between the preoperative volume of the right liver lobe (as determined by computed tomography) and the intraoperative graft weight with or without the middle hepatic vein.


Sixty-three patients who underwent liver transplantation were included in this study. The preoperative volumes of both the left and the right liver lobe were measured in all patients using computed tomography. The intraoperative weight of the right liver lobe was also measured with (group 1, n = 29) and without (group 2, n = 34) the middle hepatic vein. The results were compared with respect to gender, age, body weight, height, body mass index (BMI), weights of the left and right liver lobes as measured by computed tomography, and intraoperative weight of the right liver lobe.


A 21.64 % difference was observed between the weight of the right liver lobe as measured by computed tomography and the weight of the right lobe without the hepatic vein as measured intraoperatively (group 2). Moreover, a 12.38 % difference was observed between the weight of the right liver lobe as measured by computed tomography and the weight of the right lobe plus the middle hepatic vein as measured intraoperatively (group 1).


The weight of the right liver lobe graft in a living-donor transplantation is less than that calculated by preoperative computed tomography, and the inclusion of the middle hepatic vein in the right liver lobe graft resulted in a statistically significant decrease in this difference.


Liver Volume Liver Lobe Liver Mass Middle Hepatic Vein Left Liver Lobe 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Gilberto PeronJr
    • 1
  • Alcides A. Salzedas Netto
    • 2
  • Jorge Padilla Mancero
    • 1
  • Marcelo Augusto Fontenelle RibeiroJr
    • 1
  • José Luis Copstein
    • 1
  • Adávio de Oliveira e Silva
    • 1
  • Luiz Augusto Carneiro D’Albuquerque
    • 1
  • Adriano Miziara Gonzalez
    • 1
    • 2
  1. 1.CETEFI-Centro Terapêutico Especializado em FígadoHospital Beneficência Portuguesa de São PauloSão PauloBrazil
  2. 2.Universidade Federal de São PauloSão PauloBrazil

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