|
KMID : 0870419970010020033
|
|
Korean Journal of Hepato-Biliary-Pancreatic Surgery
1997 Volume.1 No. 2 p.33 ~ p.40
|
|
|
3D-reconstruction of right portal vein
|
|
Lee Hong-Gee
Nam Young-Soo
Park Hwon-Kyum
Baik Hong-Kyu
Lee Won-Jae
Lim Hyo-Geun
Lee Kwong-Soo
|
|
|
Abstract
|
|
|
Background/Purpose: Thorough knowledge of hepatic anatomy is essential in liver surgery. Recent development of computer technology has allowed three-dimensional (3D) reconstruction of radiological images. We evaluated the right portal veins by 3D-reconstruction and determined the numbers and directions of the segmental branches to provide a readily understandable portal branching pattern.
Methods: CT arterial portography(CTAP) data from 11 hepatoma patients were reconstructed threedimensionally in a computer workstation. The images were rotated from top(U90) to bottom(D90) and from right lateral(R90) to left lateral (L90), and the 3rd portal branches were matched and their course was determined.
Results: The direction of right portal trunk was right(R) 105(5/7 patients) - R 90(2/7 patients) and 0 - up(U) 15 in 5/7 patients(pt). The most common directions of R anterior trunk, VIII, V, R posterior trunk, VII, VI segmental portal branches were R60(6/10 pt) & U15(5/10), R 135(5/10) & U60(5/10), R30-75 & down(D)15-60(9/10), R105-120(6/10) & D15-30(8/10), R165(6/11) & U15(6/11), R105(6/11) & D30-45(8/11). The numbers of VIII & V branches visualized were 1(4),2(6),3(1) & 1(5),2(5),3(1). The numbers of VI branches were 1(5),2(4),4(1). The VII branch always branched into lateral and medial branches. Simple branching patterns were obtained on posterior segmental branches. The anterior segmental branches were somewhat variable.
Conclusion: 3D-reconstruction of portal veins allowed accurate assessment of segmental branches and their spatial relationship was readily understandable. It would be helpful in planning and simulation of surgery.
|
|
|
KEYWORD
|
|
|
3D-Reconstruction, portal vein
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|