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Hyper accuracy three-dimensional (HA3D™) technology for planning complex liver resections: a preliminary single center experience

Three-dimensional visualization technology (3DVT) has been recently introduced to achieve a precise preoperative planning of liver surgery. The aim of this observational study was to assess the accuracy of 3DVT for complex liver resections. 3DVT with hyper accuracy three-dimensional (HA3D™) technolo...

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Autores principales: Ruzzenente, Andrea, Alaimo, Laura, Conci, Simone, De Bellis, Mario, Marchese, Andrea, Ciangherotti, Andrea, Campagnaro, Tommaso, Guglielmi, Alfredo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9834350/
https://www.ncbi.nlm.nih.gov/pubmed/36006558
http://dx.doi.org/10.1007/s13304-022-01365-8
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author Ruzzenente, Andrea
Alaimo, Laura
Conci, Simone
De Bellis, Mario
Marchese, Andrea
Ciangherotti, Andrea
Campagnaro, Tommaso
Guglielmi, Alfredo
author_facet Ruzzenente, Andrea
Alaimo, Laura
Conci, Simone
De Bellis, Mario
Marchese, Andrea
Ciangherotti, Andrea
Campagnaro, Tommaso
Guglielmi, Alfredo
author_sort Ruzzenente, Andrea
collection PubMed
description Three-dimensional visualization technology (3DVT) has been recently introduced to achieve a precise preoperative planning of liver surgery. The aim of this observational study was to assess the accuracy of 3DVT for complex liver resections. 3DVT with hyper accuracy three-dimensional (HA3D™) technology was introduced at our institution on February 2020. Anatomical characteristics were collected from two-dimensional imaging (2DI) and 3DVT, while intraoperative and postoperative outcomes were recorded prospectively. A total of 62 patients were enrolled into the study. 3DVT was able to study tumor extension and liver anatomy, identifying at least one vascular variation in 37 patients (59.7%). Future remnant liver volume (FRLV) was measured using 2DI and 3DVT. The paired samples t test assessed positive correlation between the two methods (p < 0.001). At least one vessel was suspected to be invaded by the tumor in 8 (15.7%) 2DI cases vs 16 (31.4%) 3DVT cases, respectively. During surgery, vascular invasion was detected in 17 patients (33.3%). A total of 73 surgical procedures were proposed basing on 2DI, including 2 alternatives for 16 patients. After 3DVT, the previously planned procedure was changed in 15 cases (29.4%), due to the clearer information provided. A total of 51 patients (82%) underwent surgery. The most frequent procedure was right hepatectomy (33.3%), followed by left hepatectomy (23.5%) and left trisectionectomy (13.7%). Vascular resection and reconstruction were performed in 10 patients (19.6%) and portal vein was resected in more than half of these cases (66.7%). 3DVT leads to a more detailed and tailored approach to complex liver surgery, improving surgeons’ knowledge of liver anatomy and accuracy of liver resection. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-98343502023-01-13 Hyper accuracy three-dimensional (HA3D™) technology for planning complex liver resections: a preliminary single center experience Ruzzenente, Andrea Alaimo, Laura Conci, Simone De Bellis, Mario Marchese, Andrea Ciangherotti, Andrea Campagnaro, Tommaso Guglielmi, Alfredo Updates Surg Original Article Three-dimensional visualization technology (3DVT) has been recently introduced to achieve a precise preoperative planning of liver surgery. The aim of this observational study was to assess the accuracy of 3DVT for complex liver resections. 3DVT with hyper accuracy three-dimensional (HA3D™) technology was introduced at our institution on February 2020. Anatomical characteristics were collected from two-dimensional imaging (2DI) and 3DVT, while intraoperative and postoperative outcomes were recorded prospectively. A total of 62 patients were enrolled into the study. 3DVT was able to study tumor extension and liver anatomy, identifying at least one vascular variation in 37 patients (59.7%). Future remnant liver volume (FRLV) was measured using 2DI and 3DVT. The paired samples t test assessed positive correlation between the two methods (p < 0.001). At least one vessel was suspected to be invaded by the tumor in 8 (15.7%) 2DI cases vs 16 (31.4%) 3DVT cases, respectively. During surgery, vascular invasion was detected in 17 patients (33.3%). A total of 73 surgical procedures were proposed basing on 2DI, including 2 alternatives for 16 patients. After 3DVT, the previously planned procedure was changed in 15 cases (29.4%), due to the clearer information provided. A total of 51 patients (82%) underwent surgery. The most frequent procedure was right hepatectomy (33.3%), followed by left hepatectomy (23.5%) and left trisectionectomy (13.7%). Vascular resection and reconstruction were performed in 10 patients (19.6%) and portal vein was resected in more than half of these cases (66.7%). 3DVT leads to a more detailed and tailored approach to complex liver surgery, improving surgeons’ knowledge of liver anatomy and accuracy of liver resection. GRAPHICAL ABSTRACT: [Image: see text] Springer International Publishing 2022-08-25 2023 /pmc/articles/PMC9834350/ /pubmed/36006558 http://dx.doi.org/10.1007/s13304-022-01365-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Ruzzenente, Andrea
Alaimo, Laura
Conci, Simone
De Bellis, Mario
Marchese, Andrea
Ciangherotti, Andrea
Campagnaro, Tommaso
Guglielmi, Alfredo
Hyper accuracy three-dimensional (HA3D™) technology for planning complex liver resections: a preliminary single center experience
title Hyper accuracy three-dimensional (HA3D™) technology for planning complex liver resections: a preliminary single center experience
title_full Hyper accuracy three-dimensional (HA3D™) technology for planning complex liver resections: a preliminary single center experience
title_fullStr Hyper accuracy three-dimensional (HA3D™) technology for planning complex liver resections: a preliminary single center experience
title_full_unstemmed Hyper accuracy three-dimensional (HA3D™) technology for planning complex liver resections: a preliminary single center experience
title_short Hyper accuracy three-dimensional (HA3D™) technology for planning complex liver resections: a preliminary single center experience
title_sort hyper accuracy three-dimensional (ha3d™) technology for planning complex liver resections: a preliminary single center experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9834350/
https://www.ncbi.nlm.nih.gov/pubmed/36006558
http://dx.doi.org/10.1007/s13304-022-01365-8
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