Department of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Shinan District, No. 16, Jiangsu Road, Qingdao, SD, China.
Department of Pediatric Surgery, The Qingdao Women and Children's Hospital, Qingdao, China.
BMC Surg. 2024 Aug 21;24(1):236. doi: 10.1186/s12893-024-02531-y.
The study objective was to compare three-dimensional and two-dimensional imaging using computer-assisted systems (CASs) in clinical guidance for preoperative surgical planning for middle hepatic tumors in children.
A retrospective analysis was performed on 23 children who underwent surgery for middle hepatic tumors in our hospital from January 2016 to June 2022. The surgical resection plan was formulated by the operator team using two-dimensional CT images before the operation. Then, the same qualified surgeons conducted an in-depth analysis and formulated the surgical resection scheme for the same pediatric patient using three-dimensional imaging of the middle hepatic tumor. The feasibility of the two schemes was compared and analyzed.
All the tumors were successfully removed according to the preoperative method developed using three-dimensional imaging. The postoperative short-term follow-up revealed that all patients were doing well. Preoperative plans were revised in 9 cases after evaluating the three-dimensional images due to the disparity between the original plans and the three-dimensional relationship between the tumor and blood vessels, vascular variation, and the volume of remnant liver.
Three-dimensional imaging with a computer-assisted surgery system is superior to two-dimensional imaging in the preoperative planning of pediatric hepatoblastoma.
本研究旨在比较计算机辅助系统（CAS）在儿童肝中叶肿瘤术前手术规划中的三维和二维成像。
回顾性分析了 2016 年 1 月至 2022 年 6 月在我院接受手术治疗的 23 例肝中叶肿瘤患儿。手术前，术者团队使用二维 CT 图像制定手术切除计划。然后，由同一位合格的外科医生对肝中叶肿瘤的三维图像进行深入分析，并为同一位儿科患者制定手术切除方案。比较和分析了两种方案的可行性。
所有肿瘤均根据三维成像制定的术前方法成功切除。术后短期随访发现所有患者均恢复良好。由于原始计划与肿瘤和血管的三维关系、血管变异以及残余肝体积之间存在差异，9 例患者在评估三维图像后对术前计划进行了修订。
计算机辅助手术系统的三维成像在小儿肝母细胞瘤的术前规划中优于二维成像。
