Novel virtual hepatectomy is useful for evaluation of the portal territory for anatomical sectionectomy, segmentectomy, and hemihepatectomy. Issue 3 (March 2013)

• Record Type: Journal Article
• Authors: Ariizumi, Shun‐ichi; Takahashi, Yutaka; Kotera, Yoshihito; Omori, Akiko; Yoneda, Godai; Mu, Han; Katagiri, Satoshi; Egawa, Hiroto; Yamamoto, Masakazu
• Is Part Of: Journal of hepato-biliary-pancreatic sciences. Volume 20:Issue 3(2013)
• Page Start: 396
• Page End: 402
• Publication Date: 2013-03
• Subjects: Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 617.556
• DOI: 10.1007/s00534-012-0573-z
• Languages: English
• ISSNs: 1868-6974

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jhbp2018-sec-0001" sec-type="section"> <title>Background</title> <p>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.</p> </sec> <sec id="jhbp2018-sec-0002" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="jhbp2018-sec-0003" sec-type="section"> <title>Results</title> <p>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 (<italic>r</italic> = 0.985, <italic>p</italic> < 0.0001, <italic>n</italic> = 44, median error rate 9 %), segmentectomy (<italic>r</italic> = 0.949, <italic>p</italic> < 0.0001, <italic>n</italic> = 17, median error rate 12 %), and hemihepatectomy (<italic>r</italic> = 0.967, <italic>p</italic> < 0.0001, <italic>n</italic> = 29, median error rate 7 %).</p> </sec> <sec id="jhbp2018-sec-0004" sec-type="section"> <title>Conclusions</title> <p>The novel technique of virtual hepatectomy is useful for evaluation of the portal territory for anatomical sectionectomy, segmentectomy, and hemihepatectomy.</p> </sec> </abstract>