Novel virtual hepatectomy is useful for evaluation of the portal territory for anatomical sectionectomy, segmentectomy, and hemihepatectomy

被引：21

作者：

Ariizumi, Shun-ichi ^{[1
]}

Takahashi, Yutaka ^{[1
]}

Kotera, Yoshihito ^{[1
]}

Omori, Akiko ^{[1
]}

Yoneda, Godai ^{[1
]}

Mu, Han ^{[1
]}

Katagiri, Satoshi ^{[1
]}

Egawa, Hiroto ^{[1
]}

Yamamoto, Masakazu ^{[1
]}

机构：

[1] Tokyo Womens Med Univ, Inst Gastroenterol, Dept Surg, Shinjuku Ku, Tokyo 1628666, Japan

来源：

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES | 2013年 / 20卷 / 03期

关键词：

Virtual hepatectomy; Simulation; Anatomical hepatectomy; HEPATOCELLULAR-CARCINOMA; LIVER RESECTION; TUMOR RESECTION; IMPACT; TRANSECTION; SIMULATION; COMPUTER; DONORS; VOLUME;

D O I：

10.1007/s00534-012-0573-z

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The novel technique of virtual hepatectomy is useful for evaluation of the portal territory of the liver, since this software program includes functions for liver surgery planning. We evaluated the accuracy of virtual hepatectomy for anatomical hepatectomy. Between 2010 and 2011, 92 patients with liver tumors underwent virtual hepatectomy preoperatively. The predicted liver volume was compared with the actual liver volume among patients who underwent anatomical sectionectomy, segmentectomy, and hemihepatectomy. Ninety of 92 patients underwent anatomical hepatectomy on the basis of virtual hepatectomy. According to the surgical procedure, the predicted liver resection volume showed a strong correlation with the actual liver volume in patients who underwent sectionectomy (r = 0.985, p < 0.0001, n = 44, median error rate 9 %), segmentectomy (r = 0.949, p < 0.0001, n = 17, median error rate 12 %), and hemihepatectomy (r = 0.967, p < 0.0001, n = 29, median error rate 7 %). The novel technique of virtual hepatectomy is useful for evaluation of the portal territory for anatomical sectionectomy, segmentectomy, and hemihepatectomy.

引用

页码：396 / 402

页数：7

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