Minimizing the postoperative biliary complications in living donor liver transplantation, by utility of preoperative non-enhanced magnetic resonance cholangiopancreatography

摘要

Aim of the work The aim of this study was to assess the utility of non-enhanced MRCP in reduction of biliary complications in LDLT donors and compare the results with IOC. Patients and methods A total of 54 potential donors with preoperative MRCP (45 males, 9 females, age range 22–51 years). A total of 50 donors underwent right lobe resection and had IOC for comparison. The MRCP and IOC reports were reviewed. The MRCP was performed on 1.5 T MR magnets. Specificity, sensitivity and accuracy were analyzed and compared with IOC findings. Result A total of 50 donors underwent MRCP and IOC. The findings were classified according to Yoshida et. al.’s study: 42.6% with type 1, 5.6% with type 2, 25.9% with type 3, 7.4% with type 4, and 18.5% with type 8. In comparison with MRCP findings with the golden standard IOC, the sensitivity, specificity and the diagnostic accuracy of MRCP were calculated: Sensitivity was of 88.2%), specificity was of 94.2% and accuracy was of 92%. Conclusion Biliary complications remain common in LDLT. MRCP has potential in preoperative biliary evaluation for LDLT donors to minimize the postoperative biliary complications. Further improvements of MRCP in LDLT are required to increase its quality and accuracy.