Intraoperative three-dimensional fluoroscopic cholangiography

Beldi, Guido; Styner, Martin; Schindera, Sebastian; Inderbitzin, Daniel; Candinas, Daniel (2006). Intraoperative three-dimensional fluoroscopic cholangiography. Hepato-gastroenterology, 53(68), pp. 157-9. Athens: H.G.E. Update Medical Publishing

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Precise intraoperative assessment of the architecture of the biliary tree could reduce lesions to intra- or extrahepatic bile ducts. The aim of this study was to test feasibility of intraoperative three-dimensional imaging during liver resections. Isocentric C-arm fluoroscopy acquires three-dimensional images during a 190 degrees orbital rotation. The bile ducts were displayed three-dimensionally by realtime rotational projections or multiplanar reconstructions. The technique was established ex vivo in a preserved cadaveric human liver. Intraoperative three-dimensional cholangiography was performed in five patients with centrally located liver malignancies. Complete data acquisition in 3 patients depicted precise anatomical details of the architecture of the biliary tree up to third order divisions. Biliary imaging can be improved by the application of real-time intraoperative three-dimensional cholangiography. For the development of computer-aided navigation in hepatobiliary procedures, this technique could be an important prerequisite for defining landmarks of the liver in a three-dimensional space.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Beldi, Guido; Schindera, Sebastian Tobias; Inderbitzin, Daniel and Candinas, Daniel






H.G.E. Update Medical Publishing




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Date Deposited:

04 Oct 2013 14:49

Last Modified:

06 Dec 2013 13:43

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URI: (FactScience: 3923)

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