Journal of Hepato-Biliary-Pancreatic Sciences

, Volume 20, Issue 3, pp 396–402

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

Authors

    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
  • Yutaka Takahashi
    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
  • Yoshihito Kotera
    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
  • Akiko Omori
    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
  • Godai Yoneda
    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
  • Han Mu
    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
  • Satoshi Katagiri
    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
  • Hiroto Egawa
    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
  • Masakazu Yamamoto
    • Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical University
Original article

DOI: 10.1007/s00534-012-0573-z

Cite this article as:
Ariizumi, S., Takahashi, Y., Kotera, Y. et al. J Hepatobiliary Pancreat Sci (2013) 20: 396. doi:10.1007/s00534-012-0573-z

Abstract

Background

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.

Methods

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.

Results

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 %).

Conclusions

The novel technique of virtual hepatectomy is useful for evaluation of the portal territory for anatomical sectionectomy, segmentectomy, and hemihepatectomy.

Keywords

Virtual hepatectomy Simulation Anatomical hepatectomy

Copyright information

© Japanese Society of Hepato-Biliary-Pancreatic Surgery and Springer Japan 2012