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Accuracy of preoperative CT liver volumetry in living donor hepatectomy and its clinical implications

   
@article{HBSN16321,
	author = {Sanjay Goja and Sanjay Kumar Yadav and Amardeep Yadav and Tarun Piplani and Amit Rastogi and Prashant Bhangui and Sanjiv Saigal and Arvinder Singh Soin},
	title = {Accuracy of preoperative CT liver volumetry in living donor hepatectomy and its clinical implications},
	journal = {Hepatobiliary Surgery and Nutrition},
	volume = {7},
	number = {3},
	year = {2017},
	keywords = {},
	abstract = {Background: An accurate preoperative volumetric assessment of donor liver is essential for successful living donor liver transplant by ensuring adequate remnant and graft recipient weight ratio (GRWR). 
Methods: The study cohort consisted of 744 right lobe (RL), 65 left lobe (LL) and 33 left lateral sector (LLS) grafts from July 2010 to January 2014. A semi-automated interactive commercial software called AW Volume share 6 was used for volumetry. Bland Altman plot was used for assessing the agreement between estimated graft weight (EGW) and actual graft weight (AGW).
Results: There was no statistically significant difference between EGW and AGW for RL graft weight (722±134 vs. 717±126 gm; P=0.06). Although Bland Altman graph showed that 95% limits of agreement was more in LL (−164 to +110) than RL (−156 to +147) and LLS grafts (−137 to +239), CT scan significantly overestimated LL graft weight (EGW =460±118 gm vs. AGW =433±102 gm; P=0.003) and underestimated LLS graft weight (EGW =203±48 gm vs. AGW =254±49 gm; P},
	issn = {2304-389X},	url = {https://hbsn.amegroups.org/article/view/16321}
}