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385602

Anatomical Evaluation of the Biliary System of Living Liver Donors using Pre-Operative Non-Enhanced MRCP in Comparison to Intra-Operative Cholangiogram

Article

Last updated: 13 Jan 2025

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Abstract

Background: Accurate preoperative evaluation of biliary anatomy is crucial for the safety and success of living donor liver transplantation (LDLT). MRCP, a non-invasive imaging technique, is widely used to identify biliary variations and anomalies in potential donors. This study aims to evaluate the effectiveness of non-enhanced MRCP in detecting biliary tree variations in living liver donors compared to intra-operative cholangiography (IOC). Methods: This prospective study was conducted on 50 potential liver donors (28 males, 22 females, aged 18-45 years) at Mansoura University, Gastro-Intestinal Center, Liver Transplantation Unit from August 2022 to August 2024. All donors underwent preoperative MRCP followed by IOC during surgery. MRCP findings were compared with IOC, the gold standard, to determine sensitivity, specificity, and accuracy. Results: MRCP correctly identified variant biliary anatomy in 46 of 50 donors. The most common variant was RPSD draining into the right hepatic duct (44%). MRCP showed a sensitivity of 91.3%, specificity of 100%, and overall accuracy of 95.7% compared to IOC, which provided additional details in 5 cases missed by MRCP. Conclusion: MRCP is a highly sensitive and specific non-invasive technique for preoperative biliary anatomy assessment in LDLT donors. It enables safer surgeries and reduces postoperative complications by accurately identifying biliary variants, though IOC may still reveal additional crucial details.

DOI

10.21608/bmfj.2024.316335.2184

Keywords

MRCP, IOC, Common hepatic duct, living liver donors, Liver transplantation

Authors

First Name

Tamer

Last Name

Kamal

MiddleName

Ahmed

Affiliation

Professor of Diagnostic Radiology, Faculty of Medicine, Benha University

Email

tamerkamal@gmail.com

City

-

Orcid

-

First Name

Tarek

Last Name

El-Husseiny

MiddleName

Salah

Affiliation

Professor of Gastrointestinal Surgery and Liver Transplant, Faculty of Medicine, Gastrointestinal Center, Mansoura University

Email

tarksal@yahoo.com

City

-

Orcid

-

First Name

ahmed

Last Name

Shalaan

MiddleName

elsayed

Affiliation

Assistant Professor of Diagnostic Radiology, Faculty of Medicine, Benha University

Email

ahmedshalan925@gmail.com

City

-

Orcid

-

First Name

Waleed

Last Name

Ebraheem

MiddleName

Abd El Ghany

Affiliation

(M.B.B.Ch, Faculty of Medicine, Mansoura University) (Assistant Lecturer of Diagnostic Radiology – Higher Technological Institute of Applied Health Sciences)

Email

waleed.ag@hotmail.com

City

-

Orcid

-

Volume

42

Article Issue

1

Related Issue

52766

Issue Date

2025-01-01

Receive Date

2024-08-28

Publish Date

2025-01-01

Page Start

309

Page End

320

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_385602.html

Detail API

http://journals.ekb.eg?_action=service&article_code=385602

Order

694

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

Anatomical Evaluation of the Biliary System of Living Liver Donors using Pre-Operative Non-Enhanced MRCP in Comparison to Intra-Operative Cholangiogram

Details

Type

Article

Created At

13 Jan 2025