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Individualized preoperative planning using three-dimensional modeling for Bismuth and Corlette type III hilar cholangiocarcinoma.
- Source :
-
World journal of surgical oncology [World J Surg Oncol] 2016 Feb 24; Vol. 14 (1), pp. 44. Date of Electronic Publication: 2016 Feb 24. - Publication Year :
- 2016
-
Abstract
- Background: A detailed evaluation of blood supply anatomy, especially the biliary anatomy at the hepatic hilus, is essential to ensure a complete and curative resection for Bismuth and Corlette type III hilar cholangiocarcinoma. The study aimed to investigate the impact of individualized preoperative planning using 3D modeling on surgical treatment for type III hilar cholangiocarcinoma.<br />Methods: This was a retrospective study of patients with type III hilar cholangiocarcinoma (n=47) who underwent surgery at the Hepatobiliary Surgery Department of Zhujiang Hospital between March 2007 and January 2015. All patients had undergone preoperative computed tomography (CT) examination, and 3D images were reconstructed. Preoperative surgery simulation was performed, and the simulation was applied in the subsequent surgery. Clinical, surgical, and pathological characteristics were compared between patients undergoing preoperative planning (n=25) and those who did not (n=22). Complications were examined.<br />Results: Surgical time and blood loss were significantly smaller in patients with 3D reconstruction compared to those without. The number of bile duct orifices was correctly estimated in 14/25 (56.0%) patients with preoperative planning. The width of the hepatic surgical margin could be measured for 18 hepatic ducts, and 17 (68.0%) of them were pathologically diagnosed as margin-negative.<br />Conclusions: This technique has the advantages of precise visualization of the anatomic structures and 3D assessment of biliary branches and vessels, allowing improved operative planning for the treatment of hilar cholangiocarcinoma.
- Subjects :
- Bile Duct Neoplasms pathology
Bile Duct Neoplasms surgery
Bile Ducts, Intrahepatic pathology
Bile Ducts, Intrahepatic surgery
Female
Follow-Up Studies
Hepatectomy
Humans
Klatskin Tumor pathology
Klatskin Tumor surgery
Male
Middle Aged
Neoplasm Staging
Precision Medicine
Preoperative Care
Prognosis
Retrospective Studies
Bile Duct Neoplasms diagnostic imaging
Bile Ducts, Intrahepatic diagnostic imaging
Blood Loss, Surgical statistics & numerical data
Imaging, Three-Dimensional methods
Klatskin Tumor diagnostic imaging
Tomography, X-Ray Computed methods
Subjects
Details
- Language :
- English
- ISSN :
- 1477-7819
- Volume :
- 14
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- World journal of surgical oncology
- Publication Type :
- Academic Journal
- Accession number :
- 26911245
- Full Text :
- https://doi.org/10.1186/s12957-016-0794-8