HPB Surgery

• Liver Analysis (CT/MR) application enables simplified liver volumetry for CT and MR images, and simulations to help plan the best surgical approach, before surgery.
• Each organ, blood vessel, and other structures are automatically extracted and reconstructed as a separate 3D image, so surgeons can more easily focus on creating the best surgical plan for each patient.
• Automated volume calculation software intelligently calculates the volume of the venous drainage area, to superimpose the SPECT images for post-operative liver function considerations.
• Surgeons can also use the planned image as a visual guide during surgery.

Prf. Gayet

For surgeons, you don’t have to reconstruct the liver in 3D, you can see it immediately, so your procedures can be less unpredictable, performed with less tension, and flow smoother. It works extremely fast, which is important for us, we cannot wait 30 minutes. It’s a big benefit for the patient that you can really decide where you cut according to his specific anatomy.

Liver Volumetry

You can do simple Volumetry and measure Hepatic Vein drainage area volume considering after surgery actual liver functionality

Living Donor Liver Transplantation

Hemi Hepatectomy

Resection Simulation (Liver)

You can extract each PV branch volume and can use one click scope tool

Anatomical Resection

Enucleation

Laparoscopic Simulation (Liver)

One click migration from Liver Analysis application to Endoscope Simulator application.

Liver Analysis

Endoscope Simulator Pancreas

• Shun-Ichi Ariizumi et al., Novel virtual hepatectomy is useful for evaluation of the portal territory for anatomical sectionectomy, segmentectomy and hemihepatectomy, J Hepatobiliary Pancreat Sci. 2013 Mar;20(3):396-402.

• Takeshi Takamoto et al., Planning of anatomical liver segmentectomy and subsegmentectomy with 3-demensional simulation software, Am J Surg. 2013 Oct;206(4):530-8.

• Yuta Abe et al., Computer assisted surgery, preoperative planning and navigation for pancreatic cancer, J Hepatobiliary Pancreat Sci . 2014 Apr;21(4):251-5.

• Zhassulan Baimakhanov et al., Preoperative Simulation With a 3-Dimensional Printed Solid Model for One-Step Reconstruction of Multiple Hepatic Veins During Living Donor Liver Transplantation, Liver Transpl. 2015 Feb;21(2):266-8.

• M Cornet et al., Prognostic value of sarcopenia in liver surgery, J Visc Surg. 2015 Nov;152(5):297- 304.

• Takeshi Aoki et al., Three-Dimensional Virtual Endoscopy for Laparoscopic and Troracoscopic Liver Resection, VOLUME 221, ISSUE 2, E21-E26, AUGUST 01, 2015.

• Yukio Oshiro et al., A novel three-dimensional print of liver vessels and tumors in hepatectomy, Surg Today, 2017 Apr;47(4):521-524.

• Akinori Miyata et al., Reappraisal of a Dye-Staining Technique for Anatomic Hepatectomy by the Concomitant Use of Indocyanine Green Fluorescence Imaging, J Am Coll Surg. 2015 Aug;221(2):e27-36.

• Yoshihiro Watanabe et al., A New Proposal of Criteria For the Future Remnant Liver Volume in Older Patients Undergoing Major Hepatectomy For Biliary Tract Cancer, Ann Surg. 2018 Feb;267(2):338-345.

• Ken Nakayama et al., The effect of Three-Dimensional Preoperative Simulation of Liver Surgery, World J Surg. 2017 Jul;41(7):1840-1847.

• Omid Salehi et al., Combining Appleby with RAMPS – Laparoscopic Radical Antegrade Modular Pancreatosplenectomy with Celiac Trunk Resection, J Gastrointest Surg. 2020 Nov;24(11):2700- 2701.

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