Advanced SearchSearch Tips
Preoperative CT Navigation of Perigastric Vessel Anatomy for Gastrectomy
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 Title & Authors
Preoperative CT Navigation of Perigastric Vessel Anatomy for Gastrectomy
Baek, Song-Ee; Hyung, Woo Jin; Lim, Joon Seok;
  PDF(new window)
The aim of this report is showing the case that we could give exact navigation of perigastric vessels for gastrectomy with 3D CTA. A 74-year-old male patient visited hospital with gastric cancer. Early gastric cancer, type IIb was found at stomach antrum great curvature side. Before surgery, he underwent 3D CT angiography. 3D volume rendering images and MIP images were made by post processing. He had replaced Lt. hepatic artery arising from Lt. gastric artery. Surgeon could get patient`s specific vascular anatomy before surgery including surgically relevant anatomical distance and direction and could finish gastrectomy within 4 hours and just 53ml blood loss.
MDCT;Laparoscopic gastrectomy;3D CT angiography;Gastric cancer;
 Cited by
Gore RM. Gastric cancer. Clinical and pathologic features. Radiologic clinics of North America 1997;35:295-310

Kim JP. Surgical results in gastric cancer. In: Seminars in surgical oncology: Wiley Online Library, 1999; 132-138.

Vannier MW, Haller JW. Navigation in diagnosis and therapy. European journal of radiology 1999;31:132-140 crossref(new window)

Benabid A, Hoffmann D, Le Bas J, Lavallee S. [value of image guided neurosurgery in neuro-oncology]. Bulletin du cancer 1995;82:573s-580s

Lim JS, Hyung WJ, Park M-S, Kim M-J, Noh SH, Kim KW. Imagingguided minimally invasive laparoscopic resection of intraluminal small-bowel tumor: Report of two cases. American Journal of Roentgenology 2007;189:56-60 crossref(new window)

Kim YM, Baek S-E, Lim JS, Hyung WJ. Clinical application of image-enhanced minimally invasive robotic surgery for gastric cancer: A prospective observational study. Journal of Gastrointestinal Surgery 2013;17:304-312 crossref(new window)

Takiguchi S, Sekimoto M, Fujiwara Y, Yasuda T, Yano M, Hori M et al. Laparoscopic lymph node dissection for gastric cancer with intraoperative navigation using three-dimensional angio computed tomography images reconstructed as laparoscopic view. Surg Endosc 2004;18:106-110 crossref(new window)

Matsuki M, Kani H, Tatsugami F, Yoshikawa S, Narabayashi I, Lee SW, et al. Preoperative assessment of vascular anatomy around the stomach by 3d imaging using mdct before laparoscopy-assisted gastrectomy. AJR Am J Roentgenol 2004;183:145-151 crossref(new window)

Lee SW, Shinohara H, Matsuki M, Okuda J, Nomura E, Mabuchi H, et al. Preoperative simulation of vascular anatomy by three-dimensional computed tomography imaging in laparoscopic gastric cancer surgery. J Am Coll Surg 2003;197:927-936 crossref(new window)

Uyama I, Sugioka A, Fujita J, Komori Y, Matsui H, Soga R et al. Completely laparoscopic extraperigastric lymph node dissection for gastric malignancies located in the middle or lower third of the stomach. Gastric Cancer 1999;2:186-190 crossref(new window)

Matsuki M, Tanikake M, Kani H, Tatsugami F, Kanazawa S, Kana moto T, et al. Dual-phase 3d ct angiography during a single breathhold using 16-mdct: Assessment of vascular anatomy before laparoscopic gastrectomy. AJR Am J Roentgenol 2006;186:1079-1085 crossref(new window)

Lee IJ, Lee JM, Kim SH, Shin C-I, Lee JY, Kim SH et al. Diagnostic performance of 64-channel multidetector ct in the evaluation of gastric cancer: Differentiation of mucosal cancer (t1a) from submucosal involvement (t1b and t2)1. Radiology 2010;255:805-814 crossref(new window)