Comparative study on preoperative planning of pediatric hepatoblastoma between three-dimensional and two-dimensional imaging of computer-assisted surgery system
10.3760/cma.j.cn113855-20200203-00058
- VernacularTitle:计算机辅助手术系统三维成像与二维影像在小儿肝母细胞瘤术前手术规划中的应用效果的对比分析
- Author:
Xiongwei WU
1
;
Jie LIU
;
Linlin WU
;
Xin CHEN
;
Fujiang LI
;
Yuhe DUAN
;
Qian DONG
Author Information
1. 青岛大学附属医院小儿外科，山东省 266003
- From:
Chinese Journal of General Surgery
2020;35(9):673-676
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the application of preoperative planning of pediatric hepatoblastoma between three-dimensional and two-dimensional imaging of computer-assisted surgery system.Methods:From Jan 2016 to Oct 2019, surgical resection plans on 25 cases were made by the operator team through the observation of two-dimensional CT images. Then, the team will make a thorough analysis and revise the previous preoperative plan for the children patient according to three-dimensional imaging of the computer-assisted surgery system.Results:All the patients had the tumor successfully removed and achieved R 0 resection based on the preoperative plan assisted by three-dimensional imaging. All the children patients were doing well as found by postoperative short-term follow-up. Among them, preoperative plans were finally revised in 10 cases due to the disparity with the original ones in three-dimensional relationship between tumor and blood vessels, in vascular variation and in the volume of remnant liver after the evaluation of three-dimensional reconstruction images, which account for 40% variation of the original operation scheme. Conclusions:Three dimensional imaging of computer-assisted surgery system is superior to two-dimensional imaging in preoperative planning of pediatric hepatoblastoma.
