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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Liver resection and transplantation using a novel 3D hepatectomy simulation system
11st Department of Surgery, Hyogo College of Medicine 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan. sfujimo@hyo-med.ac.jp
Advances in Medical Sciences
|March 16, 2007
Summary
This study introduces a novel 3D simulation system for liver surgery. The system aids in precise liver resection planning and predicts congestion in living donor liver transplantation (LDLT).
Area of Science:
- Hepatobiliary Surgery
- Surgical Simulation Technology
- Medical Imaging and Visualization
Background:
- Accurate preoperative assessment of liver volume and anatomy is crucial for safe hepatectomy.
- Understanding hepatic venous drainage is vital in living donor liver transplantation (LDLT) to prevent congestion.
Purpose of the Study:
- To review existing literature on simulation-guided liver surgery.
- To introduce and evaluate a novel 3D hepatectomy simulation system for liver resection and transplantation.
Main Methods:
- A comprehensive review of simulation-guided liver surgery articles.
- Development and application of a novel 3D simulation system based on hepatic circulation.
- Utilizing the system for volumetric and stereotactic assessment in liver surgery planning.
- Applying the simulation program to predict hepatic venous congestion in LDLT.
Main Results:
- The 3D simulation system provides accurate volumetric and stereotactic data for preoperative planning of curative hepatectomy.
- The simulation program effectively predicts liver congestion in LDLT by analyzing the hepatic venous system.
Conclusions:
- The developed 3D simulation system enhances preoperative planning for liver resection and transplantation.
- This technology shows promise in improving outcomes for both curative hepatectomy and LDLT by addressing anatomical and circulatory complexities.

