Top

Published in:

01-03-2018 | Original Scientific Report

Feasibility of Intraoperative Navigation for Liver Resection Using Real-time Virtual Sonography With Novel Automatic Registration System

Authors: Takeshi Takamoto, Yoshihiro Mise, Shouichi Satou, Yuta Kobayashi, Koui Miura, Akio Saiura, Kiyoshi Hasegawa, Norihiro Kokudo, Masatoshi Makuuchi

Published in: World Journal of Surgery | Issue 3/2018

Abstract

Background

The clinical feasibility and usability of intraoperative ultrasonography (IOUS) tracked by computed tomography (CT) images have been proposed; however, it requires technically demanding manual registration procedure.

Study design

A prospective study using real-time virtual sonography (RVS) with novel automatic registration system was conducted in four high-volume centers of liver resection from 2015 to 2016. The requiring time for registration of IOUS and CT images and positional error of confluence of middle hepatic venous tributaries (V8-MHV, V5-MHV) were measured in patients undergoing laparotomy.

Results

Automatic registration was successful in 43 of 52 enrolled patients (83%), with error ranges of 11.4 (3.1–69.4) mm for V8-MHV and 16.2 (4.3–66.8) mm for V5-MHV. Time required for total registration process was 36 (27–74) s.

Conclusions

The RVS with novel automatic registration system can provide quick and easy registration and acceptable accuracy, which can promote the usage of IOUS.

Imamura H, Seyama Y, Kokudo N et al (2003) One thousand fifty-six hepatectomies without mortality in 8 years. Arch Surg 138:1198–1206 discussion 1206 CrossRefPubMed

Are C, Gonen M, Zazzali K et al (2007) The impact of margins on outcome after hepatic resection for colorectal metastasis. Ann Surg 246:295–300CrossRefPubMedPubMedCentral

de Haas RJ, Wicherts DA, Flores E et al (2008) R1 resection by necessity for colorectal liver metastases: is it still a contraindication to surgery? Ann Surg 248:626–637PubMed

Andreou A, Aloia TA, Brouquet A et al (2013) Margin status remains an important determinant of survival after surgical resection of colorectal liver metastases in the era of modern chemotherapy. Ann Surg 257(1079–108):8

Saito S, Yamanaka J, Miura K et al (2005) A novel 3D hepatectomy simulation based on liver circulation: application to liver resection and transplantation. Hepatology 41:1297–1304CrossRefPubMed

Radtke A, Sotiropoulos GC, Molmenti EP et al (2010) Computer-assisted surgery planning for complex liver resections: when is it helpful? A single-center experience over an 8-year period. Ann Surg 252:876–883CrossRefPubMed

Mise Y, Hasegawa K, Satou S et al (2011) Venous reconstruction based on virtual liver resection to avoid congestion in the liver remnant. Br J Surg 98(1742–175):1

Takamoto T, Hashimoto T, Ogata S et al (2013) Planning of anatomical liver segmentectomy and subsegmentectomy with 3-dimensional simulation software. Am J Surg 206:530–538CrossRefPubMed

Makuuchi M, Hasegawa H (1985) Yamazaki S Ultrasonically guided subsegmentectomy. Surg Gynecol Obstet 161:346–350PubMed

10.

Kawasoe H, Eguchi Y, Mizuta T et al (2007) Radiofrequency ablation with the real-time virtual sonography system for treating hepatocellular carcinoma difficult to detect by ultrasonography. J Clin Biochem Nutr 40(66–7):2

11.

Sandulescu L, Saftoiu A, Dumitrescu D et al (2009) The role of real-time contrast-enhanced and real-time virtual sonography in the assessment of malignant liver lesions. J Gastrointest Liver Dis 18(103–10):8

12.

Satou S, Aoki T, Kaneko J et al (2014) Initial experience of intraoperative three-dimensional navigation for liver resection using real-time virtual sonography. Surgery 155(255–26):2

13.

Sofuni A, Itoi T, Itokawa F et al (2013) Real-time virtual sonography visualization and its clinical application in biliopancreatic disease. World J Gastroenterol 19(7419–742):5

14.

Beller S, Hunerbein M, Eulenstein S et al (2007) Feasibility of navigated resection of liver tumors using multiplanar visualization of intraoperative 3-dimensional ultrasound data. Ann Surg 246:288–294CrossRefPubMedPubMedCentral

15.

Kingham TP, Scherer MA, Neese BW et al (2012) Image-guided liver surgery: intraoperative projection of computed tomography images utilizing tracked ultrasound HPB (Oxford) 14(594–60):3

16.

Peterhans M, vom Berg A, Dagon B et al (2011) A navigation system for open liver surgery: design, workflow and first clinical applications. Int J Med Robot Comput Assist Surg 7(1):7–16CrossRef

17.

Torzilli G, Montorsi M, Donadon M et al (2005) “Radical but conservative” is the main goal for ultrasonography-guided liver resection: prospective validation of this approach. J Am Coll Surg 201:517–528CrossRefPubMed

18.

Araki K, Conrad C, Ogiso S et al (2014) Intraoperative ultrasonography of laparoscopic hepatectomy: key technique for safe liver transection. J Am Coll Surg 218(e37–4):1

19.

Kawaguchi Y, Velayutham V, Fuks D, et al (2017) Operative techniques to avoid near misses during laparoscopic hepatectomy. Surgery 161:341–346CrossRefPubMed

Title: Feasibility of Intraoperative Navigation for Liver Resection Using Real-time Virtual Sonography With Novel Automatic Registration System
Authors: Takeshi Takamoto
Yoshihiro Mise
Shouichi Satou
Yuta Kobayashi
Koui Miura
Akio Saiura
Kiyoshi Hasegawa
Norihiro Kokudo
Masatoshi Makuuchi
Publication date: 01-03-2018
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 3/2018
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-017-4210-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Feasibility of Intraoperative Navigation for Liver Resection Using Real-time Virtual Sonography With Novel Automatic Registration System

Abstract

Background

Study design

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Study design

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2018

Response to Letter to the Editor, Regarding Hardcastle TC, Muckart DJJ, Maier RV. Ventilation in Trauma Patients: The First 24 h is Different! World Journal of Surgery 2017;41(5):1153–1158

External Validation of a Tube Thoracostomy Complication Classification System

Undiagnosed Primary Hyperparathyroidism and Recurrent Miscarriage: The First Prospective Pilot Study

Operative Results and Oncologic Outcomes of Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) Versus Two-Stage Hepatectomy (TSH) in Patients with Unresectable Colorectal Liver Metastases: A Systematic Review and Meta-Analysis

In Response to: Ventilation in Trauma Patients: The First 24 h is Different!

Implications of Intrahepatic Cholangiocarcinoma Etiology on Recurrence and Prognosis after Curative-Intent Resection: a Multi-Institutional Study