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Impact of Virtual Tumor Resection and Computer-Assisted Risk Analysis on Operation Planning and Intraoperative Strategy in Major Hepatic Resection—Invited Critique
William C. Chapman, MD
Arch Surg. 2005;140:638.
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Patient selection and operative planning for hepatic resection are based in large part on tomographic imaging provided by computed tomography and, to a lesser extent, magnetic resonance imaging. Information provided by these studies allows identification of the number and location of tumor sites within the liver. On this basis, operative resection decisions are made, including the type and extent of resection (anatomic vs nonanatomic). In most circumstances information provided by a standard preoperative contrast-enhanced image is sufficient for operative planning purposes, without the need for specialized image processing.
More recently the use of preoperative imaging has played a greater role in liver surgery, particularly with extended hepatic resections, where a small remnant liver volume may be insufficient for postoperative recovery. The use of computer-aided software now allows the clinician to define the remnant liver volume, and this can be used to calculate the volume of the . . . [Full Text of this Article]
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RELATED ARTICLE
Impact of Virtual Tumor Resection and Computer-Assisted Risk Analysis on Operation Planning and Intraoperative Strategy in Major Hepatic Resection
Hauke Lang, Arnold Radtke, Milo Hindennach, Tobias Schroeder, Nils R. Frühauf, Massimo Malagó, Holger Bourquain, Heinz-Otto Peitgen, Karl J. Oldhafer, and Christoph E. Broelsch
Arch Surg. 2005;140(7):629-638.
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