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Hepatic volume profiles in potential living liver donors with anomalous right-sided ligamentum teres

  • Hepatobiliary
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Abstract

Purpose

In living liver donors with rare anatomical anomaly of right-sided ligamentum teres (RSLT), right or left hemiliver procurement is commonly contraindicated. The purpose of this study was to evaluate the hepatic volume profiles in potential donors with RSLT using semi-automated CT volumetry (CTV).

Methods

Among 5535 potential donor candidates in our institution between April 2003 and May 2019, 23 cases of RSLT (0.4%) were included. Proportional liver volumes were measured using semi-automated CTV and compared with those of manual volumetry and intraoperative graft weights (seven surgical cases).

Results

The mean percentage volume of the right posterior section was significantly larger than that of the left hemiliver (38.5 ± 8.4% vs. 23.3 ± 5.7%, P < 0.001). Particularly in independent right lateral type, the mean percentage volume of the right posterior section was about two times larger to that of the left hemiliver (41.5% ± 6.5% vs. 21.9% ± 4.4%, P < 0.001), whereas the volume proportions of these two parts were similar between the two parts in bifurcation and trifurcation types (P = 0.810 and 0.979, respectively). Semi-automated CTV of corresponding whole liver, right posterior section, right anterior section, and left hemiliver showed strong correlations with manual CTV (r = 0.989–0.998; P < 0.001). For the seven surgical cases, the graft weights estimated by semi-automated CTV showed a significant correlation with intraoperative graft weights (r = 0.972; P < 0.001).

Conclusion

In independent right lateral type of RSLT, the right posterior section tends to be significantly larger than left hemiliver, and may be an alternative option for graft in potential living liver donors with this rare anatomical anomaly.

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Funding

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (No. 2017R1E1A1A03070961).

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Authors and Affiliations

  1. Department of Radiology and the Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-Ro 43-Gil, Songpa-Gu, Seoul, 138-736, Korea

    So Yeong Jeong, Kyoung Won Kim & Jin Kyoo Jang

  2. School of Computer Science and Engineering, Soongsil University, Seoul, Korea

    Jeongjin Lee

  3. Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea

    Heon-Ju Kwon

  4. Division of Liver Transplantation and Hepatobiliary Surgery, and Departments of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

    Gi Won Song & Sung Gyu Lee

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  1. So Yeong Jeong
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Correspondence to Kyoung Won Kim.

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Jeong, S.Y., Kim, K.W., Lee, J. et al. Hepatic volume profiles in potential living liver donors with anomalous right-sided ligamentum teres. Abdom Radiol 46, 1562–1571 (2021). https://doi.org/10.1007/s00261-020-02803-0

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