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Multiplanar CT reconstructions allow optimization of the laparoscopic surgical approach for liver lesions

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Abstract

Purpose

Resection of hepatic lesions can be difficult and requires careful analysis of pre-operative imaging. The aim of this study is to highlight the use of multiplanar CT reconstruction in liver surgery, which helps to anticipate intra-operative technical difficulties.

Methods

We retrospectively selected the imaging of several patients managed for liver lesions in specific locations: liver dome (IVa, VIII), the left lobe (intra-parenchymal, left edge), and the antero-inferior edge of segment VI. The IWATE classification was used to grade the difficulty of these resections.

Results

Multiplanar analysis has made it possible to change the level of difficulty of liver resection and to anticipate intra-operative difficulties. Frontal and/or sagittal section in addition to axial sections analysis increased the IWATE score.

Conclusion

Multi-planar reconstruction must be a tool used by the liver surgeon pre-operatively in order to limit intra-operative complications.

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Abbreviations

BMI:

Body mass index

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Authors and Affiliations

  1. Department of Digestive Surgery, Amiens University Medical Center and Jules Verne University of Picardie, 1 Rue du Professeur Christian Cabrol, F-80054, Amiens Cedex, France

    Fabien Werey, Kevin Allart, Jeanne Dembinski, Juliette Yvart-Degardin & Jean-Marc Regimbeau

  2. SSPC UPJV 7518 (Simplifications Des Soins Patients Chirurgicaux Complexes - Simplification of Care of Complex Surgical Patients) Clinical Research Unit, Jules Verne University of Picardie, F-80054, Amiens, France

    Jeanne Dembinski & Jean-Marc Regimbeau

Authors
  1. Fabien Werey
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  2. Kevin Allart
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  3. Jeanne Dembinski
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  4. Juliette Yvart-Degardin
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  5. Jean-Marc Regimbeau
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Contributions

FW, KA, and JMR participated in the study conception and design. FW and KA participated in the acquisition of data. FW, KA, and JMR participated in the drafting of the manuscript. JMR participated in the critical revision of the manuscript.

Corresponding author

Correspondence to Jean-Marc Regimbeau.

Ethics declarations

All patients included in the study provided their informed consent to participate.

Conflict of interest

The authors declare no competing interests.

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Werey, F., Allart, K., Dembinski, J. et al. Multiplanar CT reconstructions allow optimization of the laparoscopic surgical approach for liver lesions. Langenbecks Arch Surg 408, 420 (2023). https://doi.org/10.1007/s00423-023-03160-4

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  • DOI: https://doi.org/10.1007/s00423-023-03160-4

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