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New technique improves outcome for living donor liver transplants
March 19, 2008The University of Alberta Hospital (UAH) is one of only a few centers in Canada that perform living donor liver transplantation, a surgical procedure developed in the late 1980s that expands the organ donor pool. About 80 liver transplants are done a year in Alberta, 10 of those being living-donor.
All potential liver transplant donors are assessed based on considerations such as the size and composition of the liver and vascular and bile duct anatomy. Thanks to a review paper done at the University of Alberta radiologists at the University of Alberta Hospital are now using CT (Computed Tomography) imaging for living-donor liver transplantation. This technique shows relevant liver anatomy and, in particular, enhances high resolution imaging of the vital bile duct anatomy.
"CT scans provide a clear image of the important ducts we need to see," said Dr. Gavin Low, a clinical fellow in the University of Alberta's Faculty of Medicine and Dentistry and author of a recent study describing this process. In the past radiologists have only been using an MRI to scan possible donors for bile duct anatomy, but Low said that, "By using CT imaging the results are much more accurate and reliable for the surgeons."
Right now possible donors are screened with both MRI and CT scans but Low says the hope is to one day only use CT imaging; adding, "All-in-one imaging will speed up the process and make living-donor evaluation more convenient for potential donors."
As many as four patients are evaluated by CT imaging every month.
University of Alberta
Right now possible donors are screened with both MRI and CT scans but Low says the hope is to one day only use CT imaging; adding, "All-in-one imaging will speed up the process and make living-donor evaluation more convenient for potential donors."
As many as four patients are evaluated by CT imaging every month.
University of Alberta
Liver Transplantation Current Events and Liver Transplantation News RSSThe use of stem cells in regenerative medicine may also be detrimental for health
The use of stem cells in regenerative medicine is not always beneficial for human health, it may even be harmful according to a work done by the University of Granada and University of León. Scientists have demonstrated that transplantation of human mononuclear cells isolated from umbilical cord blood exerted a deleterious effect in rats with liver cirrhosis.
UF scientists discover new explanation for controversial old patient-care technique
You might not know what it's called, but if you've had general anesthesia before surgery, especially after an accident, it is likely you have received Sellick's maneuver.
How to identify early graft dysfunction preoperatively?
Small-for-size graft dysfunction (SFSGD) following living-related liver transplantation (LRLT) is characterized by early graft dysfunction (EGD) when the graft-to-recipient body weight ratio (GRBWR) is below 0.8%.
Medication effective for acute liver failure in early stages of disease
The antidote for acute liver failure caused by acetaminophen poisoning also can treat acute liver failure due to most other causes if given before severe injury occurs, UT Southwestern Medical Center researchers and their colleagues at 21 other institutions have found.
Prompt diagnosis of ear infections can improve outcome for organ transplant recipients
Organ transplant recipients benefit significantly when they are monitored and receive prompt diagnosis and treatment for otitis media, a common inner ear infection.
Evaluation of standard liver volume formula for Chinese adults
Living donor liver transplantation (LDLT) has been used to alleviate the shortage of available liver donors. Accurate estimation of the standard liver volume (SLV) of the living donor and recipient is crucial.
Women, blacks, Medicare recipients less likely to be evaluated for liver transplantation
Patient race, gender and insurance status influence decisions about who will go on to receive liver transplants, according to a University of Pittsburgh School of Medicine study.
Lower tacrolimus doses is suitable for living donor liver transplantation with small-for-size graft
Several studies have shown that living donor liver transplant (LDLT) recipients required smaller doses of tacrolimus compared with deceased donor liver transplant (DDLT) patients, which indicated that liver regeneration could affect the metabolism of tacrolimus in LDLT.
Sequential TACE and cryosurgery can improve survival times for patients with HCC?
Hepatocellular carcinoma (HCC)--a liver cancer--is recognized as one of the most common cancers in the world that disproportionately affects Southeast Asians and Africans.
Metabolic bone disease in cirrhosis patients
Long-standing liver disease has long been recognized to result in fragile bones with increased risk of fractures. In various international studies, the overall incidence has varied from 11% to 48%, with a fracture rate of 3%-44%.
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