Preoperative imaging/operation planning for liver surgery

被引:6
作者
Schoening, W. N. [1 ]
Denecke, T. [2 ]
Neumann, U. P. [1 ]
机构
[1] Rhein Westfal TH Aachen, Abt Allgemein Visceral & Transplantat Chirurg, Univ Klinikum, D-52074 Aachen, Germany
[2] Charite, Klin Radiol, D-13353 Berlin, Germany
来源
CHIRURG | 2015年 / 86卷 / 12期
关键词
Multidetector computed tomography; Contrast enhanced magnetic resonance imaging; Resection planning; Tumor volume; Residual liver volume; PORTAL-VEIN EMBOLIZATION; ACID-ENHANCED MRI; GD-EOB-DTPA; INTERNAL RADIATION-THERAPY; FUTURE REMNANT LIVER; HILAR CHOLANGIOCARCINOMA; HEPATOCELLULAR-CARCINOMA; COLORECTAL-CANCER; HEPATOBILIARY SCINTIGRAPHY; 3-DIMENSIONAL ULTRASOUND;
D O I
10.1007/s00104-015-0107-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
The currently established standard for planning liver surgery is multistage contrast media-enhanced multidetector computed tomography (CM-CT), which as a rule enables an appropriate resection planning, e.g. a precise identification and localization of primary and secondary liver tumors as well as the anatomical relation to extrahepatic and/or intrahepatic vascular and biliary structures. Furthermore, CM-CT enables the measurement of tumor volume, total liver volume and residual liver volume after resection. Under the condition of normal liver function a residual liver volume of 25 % is nowadays considered sufficient and safe. Recent studies in patients with liver metastases of colorectal cancer showed a clear staging advantage of contrast media-enhanced magnetic resonance imaging (CM-MRI) versus CM-CT. In addition, most recent data showed that the use of liver-specific MRI contrast media further increases the sensitivity and specificity of detection of liver metastases. This imaging technology seems to lead closer to the ideal "one stop shopping" diagnostic tool in preoperative planning of liver resection.
引用
收藏
页码:1167 / 1179
页数:13
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