TY  - JOUR
T1  - Sağ Hepatektomi Planlanan Canlı Karaciğer Donör Adaylarında Sol Lob Volümünün Huang Safra Yolu Varyasyonları ile İlişkisi
TT  - The Relationship of Left Lobe Volume with Huang Biliary Tract Variations in Living Liver Donor Candidates Planned for Right Hepatectomy
AU  - Yılmaz Çankaya, Bahar
AU  - Ay, Mutlu
PY  - 2021
DA  - July
DO  - 10.53394/akd.959353
JF  - Akdeniz Tıp Dergisi
JO  - Akd Tıp D
PB  - Akdeniz Üniversitesi
WT  - DergiPark
SN  - 2687-2781
SP  - 296
EP  - 300
VL  - 7
IS  - 2
LA  - tr
AB  - Amaç: Huang sınıflandırmasına göre, safra kanalı varyasyonlarının canlı donörlerde karaciğer kalıntıhacmi üzerine etkisini araştırmak.Gereç ve Yöntemler: Yüz altmış dokuz canlı donöre ait, trifazik batın Bilgisayarlı Tomografi (BT)ve manyetik rezonans kolanjiopankreatografi (MRKP) görüntüleri retrospektif olarak incelendi.MRKP ile safra yolları huang sınıflamasına göre dört kategoriye ayrıldı. BT görüntülerinden özelbir bilgisayar programıyla (Myrian Pro; Intrasense, Montpellier, France) karaciğer total ve lobarvolümleri hesaplandı. Sol lob volümü total volume oranlanarak sol lob volüm yüzdesi bulundu.Huang sınıflaması kategorisel verileri ile sol lob volüm yüzdesi verileri Kruskal-Wallis testi aracılığıylakarşılaştırıldı. İstatistiksel olarak P<0.05 olan değerler anlamlı kabul edildi.Bulgular: Huang sınıflamasına göre kategoriler arasında yaş ve cinsiyet dağılımında istatistiksel farkizlenmedi (sırasıyla; p= 0,756 ve p= 0,124). Karaciğer transplantasyon rezeksiyon hattına (Cantliehattı) göre hesaplanan remnant sol lob volümleri ile Huang sınıflamasındaki gruplar arasında anlamlıilişki saptanmadı (p= 0,354).Sonuç: Sağ hepatoktomi planlanan canlı karaciğer vericilerinde safra yollarındaki varyasyonlarınremnant sol lob volümünü etkilemediği sonucuna varıldı.
KW  - Bilgisayarlı tomografi
KW  - Karaciğer kalıntı hacmi
KW  - Manyetik rezonans
kolanjiopankreatografi
KW  - Safra yolu varyasyonları
N2  - Objective: To investigate the effect of bile duct variations on liver remnant volume in living donors,according to the Huang classification.Material and Methods: Triphasic abdominal Computed Tomography (CT) and magneticresonance cholangiopancreatography (MRCP) images of one hundred sixty-nine live donors wereanalyzed retrospectively. Biliary tracts were divided into four categories according to the Huangclassification. Liver total and lobar volumes were calculated from CT images with a special computerprogram (Myrian Pro; Intrasense, Montpellier, France). The volume was proportional to the left lobevolume percentage. The categorical data of the Huang classification and the percentage of left lobevolume were compared using the Kruskal-Wallis test. Values with P <0.05 were considered statisticallysignificant.Results: According to Huang classification, there was no statistical difference in age and genderdistribution between categories (P = 0.756 and P = 0.124, respectively). There was no significantrelation between the groups in Huang classification and remnant left lobe volumes calculated throughthe liver transplantation resection line (Cantlie line) (P = 0.354).Conclusion: It was concluded that variations in biliary tract did not affect the remnant left lobevolume in living liver donor candidates planned for right hepatectomy.
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UR  - https://doi.org/10.53394/akd.959353
L1  - https://dergipark.org.tr/tr/download/article-file/1849685
ER  -