Beneficial effects of 3-dimensional visualization on hepatic vein reconstruction in living donor liver transplantation using right lobe graft

Shoji Hiroshige, Takashi Nishizaki, Yuji Soejima, Koji Hashimoto, Ryuji Ohta, Ryousuke Minagawa, Mitsuo Shimada, Hiroshi Honda, Makoto Hashizume, Keizo Sugimachi

Research output: Contribution to journalArticlepeer-review

29 Citations (Scopus)

Abstract

Background. Recently, virtual operation planning and navigation systems have been introduced in the field of neurosurgery and orthopedic surgery. We report here the beneficial effects of 3-dimensional (3D) visualization on hepatic venous reconstruction in living donor liver transplantation (LDLT) using right lobe graft. Methods. 3D-image reconstruction of the liver was rendered with 3-mm slices of helical computed tomography (CT) data using zioM900 (Zio Software Inc., Tokyo, Japan). To understand the anatomy of the donor's vessels and design an operation plan, a picture of the vessels in and around the liver was reconstructed. Results. The 3D image demonstrated two short hepatic veins next to the inferior right hepatic vein (IRHV) as well as a large IRHV. The 3D image showed a more precise diameter of the right hepatic vein (RHV) and the IRHV and a more accurate distance between the two hepatic veins than did images measured by 2-dimensional CT. This preoperative information allowed the donor surgeon to dissect the inferior vena cava (IVC) and hepatic veins with reduced blood loss because of reduced risk of injury to the blood vessels. The 3D image revealed that both the RHV and the IRHV branched off at the same angle from the cylindrical IVC. Preoperative planning based on this information secured smooth anastomosis. Conclusions. 3D visualization is useful for hepatic venous reconstruction of the recipient as well as for donor surgery in LDLT using right lobe graft.

Original languageEnglish
Pages (from-to)1993-1996
Number of pages4
JournalTransplantation
Volume72
Issue number12
DOIs
Publication statusPublished - 2001

All Science Journal Classification (ASJC) codes

  • Transplantation

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