Three-dimensional modeling in complex liver surgery and liver transplantation

Jianpeng, Liu; Lerut, Jan; Yang, Zhe; Li, Ze-Kuan; Zheng, Shusen

doi:10.1016/j.hbpd.2022.05.012

Cited by 12 publications

(5 citation statements)

References 78 publications

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“…Hepatectomy, an anatomical resection performed as a definitive cure for patients with underlying liver disease, can significantly improve overall survival, but only if the remaining liver can adequately perform its function [ 11 ]. Therefore, accurate and timely assessment of liver regeneration after liver surgery is of great significance for the prediction of postoperative complications and mortality [ 12 , 14 ]. However, restoration of liver volume does not necessarily represent the recovery of liver function during liver regeneration [ 14 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, significant enhancements in the safety and prognosis of partial hepatectomies have been achieved via preoperative assessment, advanced surgical techniques, and improved postoperative management [ [11] , [12] , [13] ]. Due to its potent reconstructive ability, computed tomography (CT) is the most used imaging modality for evaluating the liver volume [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of liver regeneration after hemi-hepatectomy by combining computed tomography and post-operative liver function

Shu,

Song,

Lin

et al. 2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of liver regeneration after hemi-hepatectomy by combining computed tomography and post-operative liver function

Shu,

Song,

Lin

et al. 2024

Heliyon

Self Cite

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“…A literature review by Liu et al. reported an increasingly frequent use of 3D printing for complex liver resections [ 5 ]. Visualization of the anatomy and diameter of blood vessels and bile ducts, as well as their relationship to tumors, are described as beneficial.…”

Section: D-imagingmentioning

confidence: 99%

An update on liver surgery – a new terminology and modern techniques

Tripke,

Sommer

2023

Innovative Surgical Sciences

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Liver surgery is the cornerstone of the curative treatment of malignant liver tumors. However, the liver anatomy is very complex, and liver surgery is still associated with relevant morbidity despite many technical advances. The Brisbane nomenclature is used worldwide to classify liver resection. However, this nomenclature has several limitations as multiple terms are used for the same type of resection. Non-anatomical resections, multiple resections, and combined bilio-vascular resections were not mentioned. Therefore, new terminologies have been proposed for the precise and simple classification of liver resection. Furthermore, in recent years, many technical innovations have been introduced in liver surgery, such as 3D imaging systems and indocyanine green fluorescence, for better preoperative and intraoperative identification of tumor localization and critical vascular structures. Minimally invasive techniques are used more frequently in liver surgery. Potential benefits include less intraoperative blood loss, less pain, and a shorter hospital stay. The implementation of robotic systems also has an impact on liver surgery, and the number of cases reported in the literature is constantly increasing. The potential benefits of robotic liver resection over laparoscopic liver resection will be the subject of future studies.

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“…The idea of supporting intraoperative orientation led to the creation of 3D holograms, or 3D modeling, which faced the challenge of changing organ shapes during intraoperative manipulation. Today, "lastminute simulation" is mostly reported rather than intraoperative navigation, necessitating more research [93,94].…”

Section: Intraoperative 3d Imagingmentioning

confidence: 99%

Intraoperative Imaging in Hepatopancreatobiliary Surgery

Husarova,

MacCuaig,

Dennahy

et al. 2023

Cancers

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Hepatopancreatobiliary surgery belongs to one of the most complex fields of general surgery. An intricate and vital anatomy is accompanied by difficult distinctions of tumors from fibrosis and inflammation; the identification of precise tumor margins; or small, even disappearing, lesions on currently available imaging. The routine implementation of ultrasound use shifted the possibilities in the operating room, yet more precision is necessary to achieve negative resection margins. Modalities utilizing fluorescent-compatible dyes have proven their role in hepatopancreatobiliary surgery, although this is not yet a routine practice, as there are many limitations. Modalities, such as photoacoustic imaging or 3D holograms, are emerging but are mostly limited to preclinical settings. There is a need to identify and develop an ideal contrast agent capable of differentiating between malignant and benign tissue and to report on the prognostic benefits of implemented intraoperative imaging in order to navigate clinical translation. This review focuses on existing and developing imaging modalities for intraoperative use, tailored to the needs of hepatopancreatobiliary cancers. We will also cover the application of these imaging techniques to theranostics to achieve combined diagnostic and therapeutic potential.

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Three-dimensional modeling in complex liver surgery and liver transplantation

Cited by 12 publications

References 78 publications

Evaluation of liver regeneration after hemi-hepatectomy by combining computed tomography and post-operative liver function

Evaluation of liver regeneration after hemi-hepatectomy by combining computed tomography and post-operative liver function

An update on liver surgery – a new terminology and modern techniques

Intraoperative Imaging in Hepatopancreatobiliary Surgery

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