Impact of three-dimensional analysis of multidetector row computed tomography cholangioportography in operative planning for hilar cholangiocarcinoma - 22/09/11
, Tadashi Kondo, M.D. a, Tatsuya Oda, M.D. a, Soichiro Murata, M.D. a, Go Wakabayashi, M.D., Ph.D. b, Nobuhiro Ohkohchi, M.D., Ph.D. a
Corresponding author. Tel.: +81-29-853-3221; fax: +81-29-853-3222Abstract |
Background |
A detailed evaluation of portal triad structures, especially the biliary anatomy at the hepatic hilus, is essential to ensure curative resection for hilar cholangiocarcinoma.
Methods |
Patients underwent 3-dimensional analysis using multidetector row computed tomography cholangioportography preoperatively. The number of bile duct orifices in the cut end of the hilar plate was estimated and compared with the actual number of bile ducts. Furthermore, the estimated length of the surgical margin and its relationship to the pathological margin status was evaluated.
Results |
The number of bile duct orifices was correctly estimated in 14 of 19 patients. Of 18 hepatic ducts in which the estimated length of the hepatic side surgical margin was calculated 17 hepatic ducts (94.4%) were diagnosed pathologically as margin negative.
Conclusions |
This investigatory technique has the advantages of precise visualization of anatomic structures and multidirectional assessment of biliary branches and vessels, allowing improved operative planning for the treatment of hilar cholangiocarcinoma.
Le texte complet de cet article est disponible en PDF.Keywords : Cholangiocarcinoma, Three-dimensional imaging, Multidetector row computed tomography, Cholangioportography, Operation
Plan
Vol 202 - N° 4
P. 441-448 - octobre 2011 Retour au numéro
Article précédent
- Assessment of communication, professionalism, and surgical skills in an objective structured performance-related examination (OSPRE): a psychometric study
- Alicia Ponton-Carss, Carol Hutchison, Claudio Violato
- Safety and efficacy of hepatic vein reconstruction for colorectal liver metastases
- Akio Saiura, Junji Yamamoto, Yoshihiro Sakamoto, Rintaro Koga, Makoto Seki, Yoji Kishi
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?