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World Journal of Surgery

Published in:

01-06-2007

Impact of Preoperative Planning Using Virtual Segmental Volumetry on Liver Resection for Hepatocellular Carcinoma

Authors: Junichi Yamanaka, Shinichi Saito, Jiro Fujimoto

Published in: World Journal of Surgery | Issue 6/2007

Abstract

Background

Accurate assessment of resection volume and vascular anatomy is mandatory in preoperative planning for safe and curative hepatectomy to treat cancer. Accordingly, we examined feasibility and accuracy of a preoperative three-dimensional (3D) computed tomography (CT) scan based simulation in patients with impaired liver function undergoing hepatectomy for hepatocellular carcinoma (HCC).

Methods

Hepatectomy simulation software was programmed to reconstruct detailed 3D vascular structure and calculate liver volume based on hepatic circulation. In 113 patients with HCC, liver resection volume was estimated preoperatively by both simulation and conventional planimetry. For validation, predicted resection volumes were compared with actual resected specimen weights. The resection margin as estimated by the simulation was compared with the margin in the specimen.

Results

Simulation showed higher correlation and smaller discrepancy (r = 0.96; 9.3 ml) between predicted and actual liver resection volume than conventional planimetry (r = 0.74; 174 ml). Simulation showed correlation (p < 0.01) between estimated and actual segmental volume, which was not measurable by planimetry. Simulation showed a correlation (r = 0.84) between predicted and actual margin, with a difference of 1.6 mm.

Conclusions

Hepatectomy simulation in 3D predicted segmental liver volume and the resection margin accurately. This virtual method should contribute to preoperative planning to achieve safe, curative resection in HCC patients, whose hepatic function is compromised.

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Title: Impact of Preoperative Planning Using Virtual Segmental Volumetry on Liver Resection for Hepatocellular Carcinoma
Authors: Junichi Yamanaka
Shinichi Saito
Jiro Fujimoto
Publication date: 01-06-2007
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 6/2007
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-007-9020-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of Preoperative Planning Using Virtual Segmental Volumetry on Liver Resection for Hepatocellular Carcinoma

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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