Clinical applicaton of three-dimensional visualization technology in hepatectomy of complex hepatocellular carcinoma
10.3760/cma.j.issn.1007-8118.2019.09.004
- VernacularTitle: 三维可视化技术在复杂性肝癌切除手术中的临床应用价值
- Author:
Meng WEI
1
;
Jiazhou YE
;
Tao BAI
;
Jie CHEN
;
Rongyun MAI
;
Yumeng PENG
;
Lianda ZHANG
;
Zhiwei CHEN
;
Lequn LI
;
Feixiang WU
Author Information
1. Department of Hepatobiliary Surgery, Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China
- Publication Type:Journal Article
- Keywords:
Imaging, three-dimensional;
Complex hepatocellular carcinoma;
Precise hepatectomy;
Preoperative planning
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(9):653-655
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical application of three-dimensional (3D) visualization technology in liver resection of complicated liver cancer.
Methods:A retrospective analysis of 28 patients with complicated liver cancer treated from June 2017 to June 2018 in the Department of Hepatobiliary Surgery, the Affiliated Tumor Hospital of Guangxi Medical University. There were 26 males and 2 females, aged (46±10) years old. A treatment plan on how to perform liver resection for these patients was developed under the guidance of 3D visualization technology. The actual surgical procedures, operation time, intraoperative blood loss, and postoperative complications were documented. The virtual resected liver volume was compared with the actual resected liver volume. The virtual surgical resection margin was also compared with the actual surgical resection margin.
Results:All the 28 patients with complicated liver cancer completed the 3D visualization analysis with the location, shape and quantity of tumor being clearly shown. Of the 27 patients who underwent liver resection, 13 underwent anatomical hepatectomy, and 14 underwent non-anatomical hepatectomy. The operation time ranged from 145 to 350 min (median 240 min). The intraoperative blood loss ranged from 100 to 1 500 ml (median 300 ml). The incisional wound healed slowly in 4 patients, pleural effusion developed in 8 patients, and ascites in 2 patients. There were no significant differences in the virtual resected liver volume compared with the actual resected liver volume (P>0.05). There was an excellent positive correlation between the patient's virtual resected liver volume and the actual resected liver volume (r=0.986, P<0.05). There was no significant difference between the virtual surgical resection margin and the actual surgical resection margin (P>0.05). There was an excellent positive correlation between virtual surgical resection margin and the actual surgical resection margin (r=0.983, P<0.05).
Conclusion:Three-dimensional visualization technology accurately assessed the liver status, optimized surgical procedures, and played an important role in liver resection of complex liver cancer.
