Assessment of Hepatic Arterial Anatomy Prior to Organ Recovery英文文献资料.docVIP

Open Journal of Organ Transplant Surgery, 2012, 2, 28-31 /10.4236/ojots.2012.24008 Published Online November 2012 (http://www.SciRP.org/journal/ojots) Assessment of Hepatic Arterial Anatomy Prior to Organ Recovery Keith J. Roberts , Deep J. Malde , Brook Adams , James Hodson , Maria Sheridan , Ernest Hidalgo 1 1 1 2 3 1 1 Liver Transplant Unit, St James University Hospital, Leeds, UK Medical Statistician, University Hospitals Birmingham, Birmingham, UK 2 3 Hepatobiliary Radiologist, St James University Hospital, Leeds, UK Email: j.k.roberts@bham.ac.uk Received September 20, 2012; revised October 27, 2012; accepted November 3, 2012 ABSTRACT Iatrogenic hepatic arterial injury during organ recovery increases ischaemic times and risk of hepatic artery thrombosis. A review of CT imaging prior to organ recovery would alert retrieving surgeons to the presence of anatomical variants. This study aimed to identify the proportion of donors with coincidental CT scans for review and the ability of organ retrieval surgeons to interpret these images. Consecutive organ donors with coincidental abdominal contrast enhanced CT scans were assessed by review of an electronic radiology database. These images, with additional cases, were blindly reviewed by organ recovery surgeons to assess their ability to define anatomy. 13/156 donors had coincidental imaging for review. Using 23 CT sequences, the median positive and negative predictive value of surgeons to correctly describe right hepatic arterial anatomy was 0.83 and 0.94, of the left hepatic anatomy was 0.75 and 0.94 respectively. The availability of CT imaging for review prior to donation is low. However, when available, surgeons can correctly define hepatic arterial anatomy in th