Three-dimensional CT angiography for preoperative evaluation of patients undergoing hepatic resection using the Glissonean pedicle transection method

Ji Hong Tang, Bi Mang Fu, Hong Zhu, Bo Tang, Yong Sun, Jie Zhang, Da Kuan Yang, Xiao Shun He

Research output: Contribution to journalArticle

Abstract

AIM: To investigate the use of three-dimensional CT angiography for preoperative evaluation of patients undergoing hepatic resection using the Glissonean pedicle transection method. METHODS: The image data for 23 patients undergoing CT angiography with a Philips 256-slice Intelligent CT Scanner were analyzed with Philips brilliance software. Three-dimensional and maximum intensity projection (MIP) image reconstruction was performed. Based on the reconstructed data, liver segment resection models were developed to evaluate the possibility of preoperative virtual liver segment resection. RESULTS: Based on three-dimensional reconstruction data, the average liver volume and weight, excluding the portal vein and hepatic vein, were 1 219 mL ± 191 mL and 1 451 g ± 227 g, respectively. The portal vein could be divided into four types: I, II, III and IV. Patients with types I and II portal vein were fit for hepatic resection using the Glissonean pedicle transection method. There is no significant difference in the weight of resected liver between virtual and actual hepatectomy (P > 0.05). CONCLUSION: Three-dimensional CT angiography is a good strategy for preoperative evaluation of patients undergoing hepatic resection using the Glissonean pedicle transection method.

Original languageEnglish (US)
Pages (from-to)3420-3424
Number of pages5
JournalWorld Chinese Journal of Digestology
Volume18
Issue number32
DOIs
StatePublished - Nov 18 2010

Keywords

  • Glissonean pedicle transaction method for hepatic resection
  • Liver volume
  • Philips 256-slice intelligent CT scanner
  • Portal vein
  • Three-dimensional reconstruction

ASJC Scopus subject areas

  • Gastroenterology

Fingerprint Dive into the research topics of 'Three-dimensional CT angiography for preoperative evaluation of patients undergoing hepatic resection using the Glissonean pedicle transection method'. Together they form a unique fingerprint.

Cite this