Investigation of the anatomy of the portal vein, by using a preoperative planning system

Kolsanov A.V.

Samara State Medical University, Health Ministry of the Russian Federation, Samara, Russia

Zelter P.M.

Samara State Medical University, Ministry of Health of Russia ,89, Chapaevskaya St., Samara 443001, Russia

Manukyan A.A.

Samara State Medical University, Ministry of Health of Russia ,89, Chapaevskaya St., Samara 443001, Russia

Chaplygin S.S.

Samara State Medical University, Ministry of Health of Russia ,89, Chapaevskaya St., Samara 443001, Russia

Ivanova V.D.

Samara State Medical University, Ministry of Health of Russia, Samara, Russia

Investigation of the anatomy of the portal vein, by using a preoperative planning system

Authors:

Kolsanov A.V., Zelter P.M., Manukyan A.A., Chaplygin S.S., Ivanova V.D.

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Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2017;1(2): 3‑6

DOI: 10.17116/operhirurg2017123-6

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To cite this article:

Kolsanov AV, Zelter PM, Manukyan AA, Chaplygin SS, Ivanova VD. Investigation of the anatomy of the portal vein, by using a preoperative planning system. Russian Journal of Operative Surgery and Clinical Anatomy. 2017;1(2):3‑6. (In Russ.)
https://doi.org/10.17116/operhirurg2017123-6

Подписка 2025-2 (Russian Journal of Operative Surgery and Clinical Anatomy)

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Objective. To evaluate of the efficiency of the developed Autoplan system in the study of the variant anatomy for dividing the portal vein (PV) according to the data of computed tomography. Material and methods. The Autoplan system was used to analyze 100 abdominal computed tomograms using intravenous bolus contrast injection. The patients were divided according to the types of PV division on the basis of the most common Nakamura’s classification. Results. Postprocessing consisted in obtaining a 3D vein model to display their variant anatomy. The most common type of PV division was found to be type A (the classical type of division into right and left trunks), which was observed in 49%. Conclusion. Thus, different non-classical types of PV division were observed in more than 50% of the patients. This information should be used to plan surgeries on hepatobiliary system. The use of computed tomography-based simulation makes it possible to study the anatomy of PV in more visual details.

Keywords:

portal vein

variant anatomy

computed tomography

Autoplan system

Authors:

Kolsanov A.V.

Samara State Medical University, Health Ministry of the Russian Federation, Samara, Russia

Zelter P.M.

Samara State Medical University, Ministry of Health of Russia ,89, Chapaevskaya St., Samara 443001, Russia

Manukyan A.A.

Samara State Medical University, Ministry of Health of Russia ,89, Chapaevskaya St., Samara 443001, Russia

Chaplygin S.S.

Samara State Medical University, Ministry of Health of Russia ,89, Chapaevskaya St., Samara 443001, Russia

Ivanova V.D.

Samara State Medical University, Ministry of Health of Russia, Samara, Russia

List of references:

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Hallet J, Gayet B, Tsung A, Wakabayashi G, Pessaux P. Systematic review of the use of pre-operative simulation and navigation for hepatectomy: current status and future perspectives. J Hepatobiliary Pancreat Sci. 2015;22(5):353-362. https://doi.org/10.1002/jhbp.220
Katorkin SE, Kolsanov AV, Bystrov SA, Chaplygin SS, Zelter PM, Nazarov RM. Preoperative 3d modeling splenectomy in patients with primary immune thrombocytopenia. Novosti khirurgii. 2017;1:21-27.
Nakamura T, Tanaka K, Kiuchi T, Kasahara M, Oike F, Ueda M, Kaihara S, Egawa H, Ozden I, Kobayashi N, Uemoto S. Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases1. Transplantation. 2002;73(12):1896-1903.
Schmidt S, Demartines N, Soler L, Schnyder P, Denys A. Portal vein normal anatomy and variants: Implication for liver surgery and portal vein embolization. Semin Intervent Radiol. 2008;25:86-91.
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