Original Article
Application of three dimensional reconstruction in preoperative planning of preoperative hepatic malignancy
Tao Zhu, Jiangming Chen, Shengxue Xie, Fubao Liu, Hongchuan Zhao, Xiaoping Geng
Published 2019-02-25
Cite as Chin J Gen Surg, 2019, 34(2): 125-128. DOI: 10.3760/cma.j.issn.1007-631X.2019.02.008
Abstract
ObjectiveTo evaluate 3D visualization technology in the preoperative planning of hepatic malignancy surgery.
MethodsThe clinical data of 42 patients with hepatic malignancy undergoing radical resection after 3D reconstruction assessment from Feb 2015 to Feb 2018 in our center was retrospectively studied . The predicted resected liver volume were compared with that of resected specimen.
ResultsSurgery was successful in all the 42 patients , and there were no operative deaths. The average operation time was (303±109 ) minutes, the average intraoperative blood loss was (510±482) ml, and 28 patients had intraoperative hepatic inflew occlusion. Postoperative Clavien Ⅲ complications occurred in 4 cases. In terms of the resection liver volume, there was no significant difference between the predicted results (PELV) and actual results [resection liver volume(AELV): (1 143±584)ml vs. (1 091±570 )ml, t=0.414, P>0.05]. There is a strong positive correlation between AELV and PELV (r=0.996, P<0.01). PELV was highly consistent with AELV data (ICC=0.998).
ConclusionThree-dimensional visualization technology can accurately reflect the anatomic relationship between intrahepatic tumors and vessels, and correctly assess liver volume, guide surgical resection, thus, it can instruct radical resection of liver malignancy.
Key words:
Liver neoplasms; Imaging, three-dimensional; Hepatectomy
Contributor Information
Tao Zhu
Department of Hepatobiliary Surgery, the Second Hospital of Anhui Medical University, Hefei 230032, China
Jiangming Chen
Department of Hepatobiliary Surgery, the First Hospital of Anhui Medical University, Hefei 230022, China
Shengxue Xie
Department of Hepatobiliary Surgery, the Second Hospital of Anhui Medical University, Hefei 230032, China
Fubao Liu
Department of Hepatobiliary Surgery, the First Hospital of Anhui Medical University, Hefei 230022, China
Hongchuan Zhao
Department of Hepatobiliary Surgery, the First Hospital of Anhui Medical University, Hefei 230022, China
Xiaoping Geng
Department of Hepatobiliary Surgery, the Second Hospital of Anhui Medical University, Hefei 230032, China