Individualized preoperative planning using three-dimensional modeling for Bismuth and Corlette type III hilar cholangiocarcinoma
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 u...
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| Veröffentlicht in: | World journal of surgical oncology 2016-02, Vol.14 (1), p.44-44, Article 44 |
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| creator | Zeng, Ning Tao, Haisu Fang, Chihua Fan, Yingfang Xiang, Nan Yang, Jian Zhu, Wen Liu, Jun Guan, Tianpei Fang, Cheng Xiang, Fei |
| description | 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.
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.
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.
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. |
| doi_str_mv | 10.1186/s12957-016-0794-8 |
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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.
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.
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.</description><identifier>ISSN: 1477-7819</identifier><identifier>EISSN: 1477-7819</identifier><identifier>DOI: 10.1186/s12957-016-0794-8</identifier><identifier>PMID: 26911245</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Bile Duct Neoplasms - diagnostic imaging ; Bile Duct Neoplasms - pathology ; Bile Duct Neoplasms - surgery ; Bile Ducts, Intrahepatic - diagnostic imaging ; Bile Ducts, Intrahepatic - pathology ; Bile Ducts, Intrahepatic - surgery ; Bismuth ; Blood Loss, Surgical - statistics & numerical data ; Care and treatment ; Complications and side effects ; Female ; Follow-Up Studies ; Health aspects ; Hepatectomy ; Humans ; Imaging, Three-Dimensional - methods ; Klatskin Tumor - diagnostic imaging ; Klatskin Tumor - pathology ; Klatskin Tumor - surgery ; Male ; Metastasis ; Middle Aged ; Neoplasm Staging ; Precision Medicine ; Preoperative Care ; Prognosis ; Retrospective Studies ; Risk factors ; Tomography, X-Ray Computed - methods</subject><ispartof>World journal of surgical oncology, 2016-02, Vol.14 (1), p.44-44, Article 44</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2016</rights><rights>Zeng et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c591t-99982069ca58a728affa5b385e78bb1128b86964d7d0624440263846cbc463eb3</citedby><cites>FETCH-LOGICAL-c591t-99982069ca58a728affa5b385e78bb1128b86964d7d0624440263846cbc463eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765219/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765219/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26911245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeng, Ning</creatorcontrib><creatorcontrib>Tao, Haisu</creatorcontrib><creatorcontrib>Fang, Chihua</creatorcontrib><creatorcontrib>Fan, Yingfang</creatorcontrib><creatorcontrib>Xiang, Nan</creatorcontrib><creatorcontrib>Yang, Jian</creatorcontrib><creatorcontrib>Zhu, Wen</creatorcontrib><creatorcontrib>Liu, Jun</creatorcontrib><creatorcontrib>Guan, Tianpei</creatorcontrib><creatorcontrib>Fang, Cheng</creatorcontrib><creatorcontrib>Xiang, Fei</creatorcontrib><title>Individualized preoperative planning using three-dimensional modeling for Bismuth and Corlette type III hilar cholangiocarcinoma</title><title>World journal of surgical oncology</title><addtitle>World J Surg Oncol</addtitle><description>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.
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.
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.
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.</description><subject>Bile Duct Neoplasms - diagnostic imaging</subject><subject>Bile Duct Neoplasms - pathology</subject><subject>Bile Duct Neoplasms - surgery</subject><subject>Bile Ducts, Intrahepatic - diagnostic imaging</subject><subject>Bile Ducts, Intrahepatic - pathology</subject><subject>Bile Ducts, Intrahepatic - surgery</subject><subject>Bismuth</subject><subject>Blood Loss, Surgical - statistics & numerical data</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health aspects</subject><subject>Hepatectomy</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Klatskin Tumor - diagnostic imaging</subject><subject>Klatskin Tumor - pathology</subject><subject>Klatskin Tumor - surgery</subject><subject>Male</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Precision Medicine</subject><subject>Preoperative Care</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>1477-7819</issn><issn>1477-7819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkl2L1DAUhoso7rr6A7yRgCDedG3aNB83wjr4MbDgjV6HND2dZkmTmqQDu1f-dFNnXWdEAklInvcN5-Qtipe4usSY03cR16JlZYVpWTFBSv6oOMeEsZJxLB4f7c-KZzHeVFXdNG3ztDirqcC4Ju158XPrerM3_aKsuYMezQH8DEElswc0W-WccTu0xHVOYwAoezOBi8Y7ZdHke7Dr1eAD-mDitKQRKdejjQ8WUgKUbmdA2-0WjcaqgPTos-fOeK2CNs5P6nnxZFA2wov79aL4_unjt82X8vrr5-3m6rrUrcCpFELwuqJCq5YrVnM1DKrtGt4C412Xi-Edp4KSnvUVrQkhVU0bTqjuNKENdM1F8f7gOy_dBL0Gl4Kycg5mUuFWemXk6Y0zo9z5vSSMtjUW2eDtvUHwPxaISU4marC5HvBLlJhR3tIMsoy-_ge98UvIDVspwXlFCRN_qZ2yII0bfH5Xr6byirQN55j_pi7_Q-XRw2S0dzCYfH4ieHMkGEHZNEZvl5S_LJ6C-ADq4GMMMDw0A1dyzZc85EvmfMk1X5JnzavjLj4o_gSq-QUq78va</recordid><startdate>20160224</startdate><enddate>20160224</enddate><creator>Zeng, Ning</creator><creator>Tao, Haisu</creator><creator>Fang, Chihua</creator><creator>Fan, Yingfang</creator><creator>Xiang, Nan</creator><creator>Yang, Jian</creator><creator>Zhu, Wen</creator><creator>Liu, Jun</creator><creator>Guan, Tianpei</creator><creator>Fang, Cheng</creator><creator>Xiang, Fei</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160224</creationdate><title>Individualized preoperative planning using three-dimensional modeling for Bismuth and Corlette type III hilar cholangiocarcinoma</title><author>Zeng, Ning ; Tao, Haisu ; Fang, Chihua ; Fan, Yingfang ; Xiang, Nan ; Yang, Jian ; Zhu, Wen ; Liu, Jun ; Guan, Tianpei ; Fang, Cheng ; Xiang, Fei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c591t-99982069ca58a728affa5b385e78bb1128b86964d7d0624440263846cbc463eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Bile Duct Neoplasms - diagnostic imaging</topic><topic>Bile Duct Neoplasms - pathology</topic><topic>Bile Duct Neoplasms - surgery</topic><topic>Bile Ducts, Intrahepatic - diagnostic imaging</topic><topic>Bile Ducts, Intrahepatic - pathology</topic><topic>Bile Ducts, Intrahepatic - surgery</topic><topic>Bismuth</topic><topic>Blood Loss, Surgical - statistics & numerical data</topic><topic>Care and treatment</topic><topic>Complications and side effects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health aspects</topic><topic>Hepatectomy</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Klatskin Tumor - diagnostic imaging</topic><topic>Klatskin Tumor - pathology</topic><topic>Klatskin Tumor - surgery</topic><topic>Male</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Precision Medicine</topic><topic>Preoperative Care</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zeng, Ning</creatorcontrib><creatorcontrib>Tao, Haisu</creatorcontrib><creatorcontrib>Fang, Chihua</creatorcontrib><creatorcontrib>Fan, Yingfang</creatorcontrib><creatorcontrib>Xiang, Nan</creatorcontrib><creatorcontrib>Yang, Jian</creatorcontrib><creatorcontrib>Zhu, Wen</creatorcontrib><creatorcontrib>Liu, Jun</creatorcontrib><creatorcontrib>Guan, Tianpei</creatorcontrib><creatorcontrib>Fang, Cheng</creatorcontrib><creatorcontrib>Xiang, Fei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeng, Ning</au><au>Tao, Haisu</au><au>Fang, Chihua</au><au>Fan, Yingfang</au><au>Xiang, Nan</au><au>Yang, Jian</au><au>Zhu, Wen</au><au>Liu, Jun</au><au>Guan, Tianpei</au><au>Fang, Cheng</au><au>Xiang, Fei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Individualized preoperative planning using three-dimensional modeling for Bismuth and Corlette type III hilar cholangiocarcinoma</atitle><jtitle>World journal of surgical oncology</jtitle><addtitle>World J Surg Oncol</addtitle><date>2016-02-24</date><risdate>2016</risdate><volume>14</volume><issue>1</issue><spage>44</spage><epage>44</epage><pages>44-44</pages><artnum>44</artnum><issn>1477-7819</issn><eissn>1477-7819</eissn><abstract>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.
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.
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.
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.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26911245</pmid><doi>10.1186/s12957-016-0794-8</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Bile Duct Neoplasms - diagnostic imaging Bile Duct Neoplasms - pathology Bile Duct Neoplasms - surgery Bile Ducts, Intrahepatic - diagnostic imaging Bile Ducts, Intrahepatic - pathology Bile Ducts, Intrahepatic - surgery Bismuth Blood Loss, Surgical - statistics & numerical data Care and treatment Complications and side effects Female Follow-Up Studies Health aspects Hepatectomy Humans Imaging, Three-Dimensional - methods Klatskin Tumor - diagnostic imaging Klatskin Tumor - pathology Klatskin Tumor - surgery Male Metastasis Middle Aged Neoplasm Staging Precision Medicine Preoperative Care Prognosis Retrospective Studies Risk factors Tomography, X-Ray Computed - methods |
| title | Individualized preoperative planning using three-dimensional modeling for Bismuth and Corlette type III hilar cholangiocarcinoma |
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