Sheng Weiwei, Yuan Chendong, Wu Linquan, Yan Jinlong, Ge Jin, Lei Jun
Department of General Surgery, Second Affiliated Hospital of Nanchang University, No. 1, Minde Road, Nanchangm, 330006, China.
Jiangxi Province Engineering Research Center of Hepatobiliary Disease, Nanchang, China.
Surg Endosc. 2022 May;36(5):3246-3253. doi: 10.1007/s00464-021-08636-2. Epub 2021 Sep 15.
To explore the utility of three-dimensional (3D) visualization technology in liver resection for patients with complex liver cancer.
In this retrospective cohort study, we collected and analyzed clinic pathological data from 105 patients who underwent complicated liver cancer resection at the authors' unit between January 2014 and June 2019. Observation indicators included general demographic information, operative time, intraoperative blood loss, blood transfusion volume, postoperative liver function, complication rate, hospital stay, and in-hospital mortality.
Compared with the complex liver cancer control group, operative time (257.1 ± 63.4 min versus [vs] 326.6 ± 78.3 min; P < 0.001), intraoperative blood loss (256.4 ± 159.1 mL vs 436.1 ± 177.3 mL; P < 0.001), blood transfusion volume (213.3 ± 185.2 mL vs 401.6 ± 211.2 mL; P < 0.001), and length of hospital stay (9.7 ± 3.1 days vs 11.9 ± 3.3 days; P = 0.001) were significantly reduced in the complex liver cancer reconstruction group. Although there was no statistical difference in total postoperative complication rate between the two groups, the incidence of serious postoperative complications in the reconstruction group was significantly lower than that in the control group (3/54 [5.6%] vs 10/51 [19.6%], respectively; P = 0.038). Regarding laboratory investigations, the time to recovery of liver function in the complex liver cancer reconstruction group was shorter than that in the complex liver cancer control group.
The use of 3D visualization technology was highly influential in formulating meticulous, individualized surgical strategies for complex liver cancer liver resection with safety and reduced perioperative risk.
探讨三维（3D）可视化技术在复杂肝癌患者肝切除术中的应用价值。
在这项回顾性队列研究中，我们收集并分析了2014年1月至2019年6月期间在作者所在单位接受复杂肝癌切除术的105例患者的临床病理数据。观察指标包括一般人口统计学信息、手术时间、术中出血量、输血量、术后肝功能、并发症发生率、住院时间和院内死亡率。
与复杂肝癌对照组相比，复杂肝癌重建组的手术时间（257.1±63.4分钟对326.6±78.3分钟；P<0.001）、术中出血量（256.4±159.1毫升对436.1±177.3毫升；P<0.001）、输血量（213.3±185.2毫升对401.6±211.2毫升；P<0.001）和住院时间（9.7±3.1天对11.9±3.3天；P=0.001）均显著缩短。虽然两组术后总并发症发生率无统计学差异，但重建组术后严重并发症发生率显著低于对照组（分别为3/54[5.6%]对10/51[19.6%]；P=0.038）。在实验室检查方面，复杂肝癌重建组肝功能恢复时间短于复杂肝癌对照组。
3D可视化技术的应用对于为复杂肝癌肝切除术制定精细、个体化的手术策略具有重要影响，可提高手术安全性并降低围手术期风险。
