Postoperative Complications after Living Donor Liver Transplantation for Patients with Hepatocellular arcinoma: Evaluation by Multi-Detector Row Spiral CT and Magnetic Resonance Imaging_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHEN Guangwen ^1,2 , LIU Xijiao ¹ , SONG Bin ¹ , HUANG Zixing ¹

1.Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;;
2.Department of Radiology, People’s Hospital of Sichuan Province, Chengdu 610070, Sichuan Province, China;

Corresponding author：

Keywords：

Hepatocellular carcinoma; Living donor liver transplantation; Complication; Tomography/X-ray computed; Magnetic resonance imaging

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ObjectiveTo investigate the radiological appearances of postoperative complications after living donor liver transplantation for patients with hepatocellular carcinoma under multi-detector row spiral computed tomography (MDCT) and magnetic resonance imaging (MRI) examination. MethodsThirty-nine imaging data in 20 patients with hepatocellular carcinoma after living donor liver transplantation from January 2008 to June 2010 in the West China Hospital were included and analyzed by two radiologists respectively. The relations between the types of complications and radiological appearances were especially recorded. ResultsAll the cases experienced complications to different extent. Common surgical complications occured in 20 cases, including pertitoneal fluid collection (14 cases), pneumoperitoneum (2 cases), swelling of peritoneum, omentum, and mesentery (1 case), abdominal wall swelling (2 cases), pleural effusion (9 cases), and pericardial fluid collection (2 cases). Hepatic vascular complications involved hepatic artery in 3 cases, portal vein in 5 cases. Biliary complications presented in 7 cases, including anastomotic stenosis of biliary duct (6 cases) and bile leak (1 case). Graft parenchymal complications included intrahepatic lymph retention (11 cases), infarction (3 cases), and infection (2 cases). Intrahepatic recurrence in 5 cases, intraperitoneal metastasis in 3 csses and pulmonary metastasis in 2 cases. ConclusionMDCT and MRI have important diagnostic values for postoperative complications after living donor liver transplantation for patients with hepatocellular carcinoma.

Citation： CHEN Guangwen ,LIU Xijiao,SONG Bin,HUANG Zixing. Postoperative Complications after Living Donor Liver Transplantation for Patients with Hepatocellular arcinoma: Evaluation by Multi-Detector Row Spiral CT and Magnetic Resonance Imaging. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(4): 435-440. doi: Copy

1.	Emiroglu R, Sevmis S, Moray G, et al. Livingdonor liver transplantation: results of a single center [J]. Transplant Proc, 2007, 39(4): 11491152.
2.	Liu B, Yan LN, Wang WT, et al. Clinical study on safety of adulttoadult living donor liver transplantation in both donors and recipients [J]. World J Gastroenterol, 2007, 13(6): 955959.
3.	程燕, 印隆林, 宋彬. 肝移植术前影像学检查的综合评价 [J]. 中国普外基础与临床杂志, 2003, 10(4): 397401.
4.	Németh A, Doros A, Hartmann E, et al. Imaging techniques for the pre and postoperative evaluation of recipients with livingdonor liver transplantation [J]. Orv Hetil, 2008,149(2): 6976.
5.	Hartmann E, Németh A, Doros A, et al. The role of imaging methods in the pre and intraoperative evaluation, and in postoperative followup of living donors in liver transplantation in Hungary [J]. Orv Hetil, 2008, 149(1): 1318.
6.	李文涛, 宋彬. 原位肝移植术后并发症的影像学评价 [J]. 中国普外基础与临床杂志, 2004, 11(1): 7681.
7.	沈文, 尹建中, 陈光, 等. 肝移植术后影像学表现 [J]. 临床放射学杂志, 2004, 23(5): 396400.
8.	刘曦娇, 宋彬, 陈光文. 肝移植围手术期的影像学评价 [J]. 中国普外基础与临床杂志, 2010, 17(10): 11021106.
9.	丁绍省, 梁峰, 叶叔文, 等. 肝移植术后并发症的影像学评价 [J]. 中国医学影像学杂志, 2006, 14(2): 9497.
10.	陈凯, 董其龙, 陈自谦. 肝移植术后并发症的CT影像学研究 [J]. 中国临床医学影像杂志, 2006, 17(11): 616618.
11.	Gwon DI, Ko GY, Yoon HK, et al. Inferior phrenic artery: anatomy, variations, pathologic conditions, and interventional management [J]. Radiographics, 2007, 27(3): 687705.
12.	Kim S, Kim TU, Lee JW, et al. The perihepatic space: comprehensive anatomy and CT features of pathologic conditions [J]. Radiographics, 2007, 27(1): 129143.
13.	Kim HC, Chung JW, Jae HJ, et al. Hepatocellular carcinoma: prediction of blood supply from an internal mammary artery with multidetector row CT [J]. J Vasc Interv Radiol, 2008, 19(10): 14191425.
14.	Steinbrück K, Enne M, Fernandes R, et al. Vascular complications after living donor liver transplantation: a brazilian, singlecenter experience [J]. Transplant Proc, 2011, 43(1): 196198.
15.	Khalaf H. Vascular complications after deceased and living donor liver transplantation: a singlecenter experience [J]. Transplant Proc, 2010, 42(3): 865870.
16.	Stell D, Downey D, Marotta P, et al. Prospective evaluation of the role of quantitative Doppler ultrasound surveillance in liver transplantation [J]. Liver Transpl, 2004, 10(9): 11831188.
17.	Jiang XZ, Yan LN, Li B, et al. Arterial complications after livingrelated liver transplantation: singlecenter experience from West China [J]. Transplant Proc, 2008, 40(5): 15251528.
18.	Moon JI, Jung GO, Choi GS, et al. Risk factors for portal vein complications after pediatric living donor liver transplantation with leftsided grafts [J]. Transplant Proc, 2010, 42(3): 871875.
19.	Kyoden Y, Tamura S, Sugawara Y, et al. Portal vein complications after adulttoadult living donor liver transplantation [J]. Transpl Int, 2008, 21(12): 11361144.
20.	Takahashi Y, Nishimoto Y, Matsuura T, et al. Surgical complications after living donor liver transplantation in patients with biliary atresia: a relatively high incidence of portal vein complications [J]. Pediatr Surg Int, 2009, 25(9): 745751.
21.	Heffron TG, Pillen T, Smallwood G, et al. Incidence, impact, and treatment of portal and hepatic venous complications following pediatric liver transplantation: a singlecenter 12 year experience [J]. Pediatr Transplant, 2010, 14(6): 722729.
22.	Safdar K, Atiq M, Stewart C, et al. Biliary tract complications after liver transplantation [J]. Expert Rev Gastroenterol Hepatol, 2009, 3(2): 183195.
23.	夏天, 严律南, 李波, 等. 成人活体肝移植胆道并发症的防治 [J]. 中华医学杂志, 2008, 88(44): 31383140.
24.	董其龙, 陈代文, 史震山, 等. 肝移植术后胆系并发症的影像学研究 [J]. 中国临床医学影像杂志, 2008, 19(2): 133135.
25.	Berrocal T, Parrón M, AlvarezLuque A, et al. Pediatric liver transplantation: a pictorial essay of early and late complications [J]. Radiographics, 2006, 26(4): 11871209.
26.	姜滨, 祁吉. 多层螺旋CT在活体肝移植手术前后评估中的应用 [J]. 国际医学放射学杂志, 2008, 31(4): 243246, 250.
27.	王劲, 何炳均, 张亚琴, 等. 肝移植术后磁共振propeller LAVA薄层动态增强技术及MRCP的诊断价值 [J]. 临床放射学杂志, 2009, 28(3): 347.

1. Emiroglu R, Sevmis S, Moray G, et al. Livingdonor liver transplantation: results of a single center [J]. Transplant Proc, 2007, 39(4): 11491152.
2. Liu B, Yan LN, Wang WT, et al. Clinical study on safety of adulttoadult living donor liver transplantation in both donors and recipients [J]. World J Gastroenterol, 2007, 13(6): 955959.
3. 程燕, 印隆林, 宋彬. 肝移植术前影像学检查的综合评价 [J]. 中国普外基础与临床杂志, 2003, 10(4): 397401.
4. Németh A, Doros A, Hartmann E, et al. Imaging techniques for the pre and postoperative evaluation of recipients with livingdonor liver transplantation [J]. Orv Hetil, 2008,149(2): 6976.
5. Hartmann E, Németh A, Doros A, et al. The role of imaging methods in the pre and intraoperative evaluation, and in postoperative followup of living donors in liver transplantation in Hungary [J]. Orv Hetil, 2008, 149(1): 1318.
6. 李文涛, 宋彬. 原位肝移植术后并发症的影像学评价 [J]. 中国普外基础与临床杂志, 2004, 11(1): 7681.
7. 沈文, 尹建中, 陈光, 等. 肝移植术后影像学表现 [J]. 临床放射学杂志, 2004, 23(5): 396400.
8. 刘曦娇, 宋彬, 陈光文. 肝移植围手术期的影像学评价 [J]. 中国普外基础与临床杂志, 2010, 17(10): 11021106.
9. 丁绍省, 梁峰, 叶叔文, 等. 肝移植术后并发症的影像学评价 [J]. 中国医学影像学杂志, 2006, 14(2): 9497.
10. 陈凯, 董其龙, 陈自谦. 肝移植术后并发症的CT影像学研究 [J]. 中国临床医学影像杂志, 2006, 17(11): 616618.
11. Gwon DI, Ko GY, Yoon HK, et al. Inferior phrenic artery: anatomy, variations, pathologic conditions, and interventional management [J]. Radiographics, 2007, 27(3): 687705.
12. Kim S, Kim TU, Lee JW, et al. The perihepatic space: comprehensive anatomy and CT features of pathologic conditions [J]. Radiographics, 2007, 27(1): 129143.
13. Kim HC, Chung JW, Jae HJ, et al. Hepatocellular carcinoma: prediction of blood supply from an internal mammary artery with multidetector row CT [J]. J Vasc Interv Radiol, 2008, 19(10): 14191425.
14. Steinbrück K, Enne M, Fernandes R, et al. Vascular complications after living donor liver transplantation: a brazilian, singlecenter experience [J]. Transplant Proc, 2011, 43(1): 196198.
15. Khalaf H. Vascular complications after deceased and living donor liver transplantation: a singlecenter experience [J]. Transplant Proc, 2010, 42(3): 865870.
16. Stell D, Downey D, Marotta P, et al. Prospective evaluation of the role of quantitative Doppler ultrasound surveillance in liver transplantation [J]. Liver Transpl, 2004, 10(9): 11831188.
17. Jiang XZ, Yan LN, Li B, et al. Arterial complications after livingrelated liver transplantation: singlecenter experience from West China [J]. Transplant Proc, 2008, 40(5): 15251528.
18. Moon JI, Jung GO, Choi GS, et al. Risk factors for portal vein complications after pediatric living donor liver transplantation with leftsided grafts [J]. Transplant Proc, 2010, 42(3): 871875.
19. Kyoden Y, Tamura S, Sugawara Y, et al. Portal vein complications after adulttoadult living donor liver transplantation [J]. Transpl Int, 2008, 21(12): 11361144.
20. Takahashi Y, Nishimoto Y, Matsuura T, et al. Surgical complications after living donor liver transplantation in patients with biliary atresia: a relatively high incidence of portal vein complications [J]. Pediatr Surg Int, 2009, 25(9): 745751.
21. Heffron TG, Pillen T, Smallwood G, et al. Incidence, impact, and treatment of portal and hepatic venous complications following pediatric liver transplantation: a singlecenter 12 year experience [J]. Pediatr Transplant, 2010, 14(6): 722729.
22. Safdar K, Atiq M, Stewart C, et al. Biliary tract complications after liver transplantation [J]. Expert Rev Gastroenterol Hepatol, 2009, 3(2): 183195.
23. 夏天, 严律南, 李波, 等. 成人活体肝移植胆道并发症的防治 [J]. 中华医学杂志, 2008, 88(44): 31383140.
24. 董其龙, 陈代文, 史震山, 等. 肝移植术后胆系并发症的影像学研究 [J]. 中国临床医学影像杂志, 2008, 19(2): 133135.
25. Berrocal T, Parrón M, AlvarezLuque A, et al. Pediatric liver transplantation: a pictorial essay of early and late complications [J]. Radiographics, 2006, 26(4): 11871209.
26. 姜滨, 祁吉. 多层螺旋CT在活体肝移植手术前后评估中的应用 [J]. 国际医学放射学杂志, 2008, 31(4): 243246, 250.
27. 王劲, 何炳均, 张亚琴, 等. 肝移植术后磁共振propeller LAVA薄层动态增强技术及MRCP的诊断价值 [J]. 临床放射学杂志, 2009, 28(3): 347.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Postoperative Complications after Living Donor Liver Transplantation for Patients with Hepatocellular arcinoma: Evaluation by Multi-Detector Row Spiral CT and Magnetic Resonance Imaging

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