In hepatobiliary-pancreatic surgery, the different imaging methods provide support for the diagnosis and evaluation of the operability criteria as well as the planning of the surgical strategy. Computed tomography, ultrasound, and two-dimensional magnetic resonance allow a complete study of the vascular and parenchymal structures, however, the 3D reconstruction of the images has the advantage of giving the surgeon an optimal perception of the relationships between the anatomical elements and is essential for evaluating the extent of liver resection based on residual liver volume.
Click here Download a pdf version of the reconstruction of the anatomy of the liver (file to download and open with Adobe Acrobat Reader).
In clinical practice, these three-dimensional images are consulted by the surgeon in the preoperative phase and during surgery on special screens present in the operating room.
An additional technology is augmented reality for laparoscopic and robotic operations, which provides for the direct projection of 3D reconstructions onto the operating field, allowing simultaneous vision superimposed on real structures (see Medicine Service 33 in our experience).