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- Title
Image-Guided Proper Liver Segmentectomy.
- Authors
Roncati, L.; Manenti, A.; Simonini, E.
- Abstract
Background: The new cross-sectional radiological tools, 3D computed tomography and magnetic resonance, allow a precise study of the liver anatomy. Thanks to these imaging techniques, a new space inside the liver parenchyma, the “hepatic core,” was recently recognized, where the hila of liver segments are present.Methods: On the basis of anatomical and radiological observations, we identified a new virtual plane of dissection, named “hepato-portal,” which is useful in liver segmentectomy, if integrated with the classical planes of dissection.Results: Simulated surgical procedures can be intra-operatively transferred by ultrasounds. In this way, we performed ten “proper” liver segmentectomies through preliminary sections of the hilar vessels and a precise dissection of the boundaries of each segment.Conclusions: Our experience underlines the value of integrating anatomy and radiology in the simulated liver surgery.
- Subjects
LIVER; RADIOLOGY; COMPUTED tomography; MAGNETIC resonance; MAGNETIC resonance imaging; ANATOMY
- Publication
World Journal of Surgery, 2018, Vol 42, Issue 6, p1857
- ISSN
0364-2313
- Publication type
Article
- DOI
10.1007/s00268-017-4397-5