Journal of International Society for Simulation Surgery

International Society for Simulation Surgery (국제컴퓨터가상수술학회)
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Preoperative CT Navigation of Perigastric Vessel Anatomy for Gastrectomy

  • Baek, Song-Ee (Department of Radiology, Yonsei University College of Medicine) ;
  • Hyung, Woo Jin (Department of Surgery, Yonsei University College of Medicine) ;
  • Lim, Joon Seok (Department of Radiology, Yonsei University College of Medicine)
  • Received : 2014.07.04
  • Accepted : 2014.07.15
  • Published : 2014.07.19
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Abstract

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.

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References

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