International multidisciplinary consensus recommendations on clinical application of three-dimensional visualization in precision surgery for pediatric liver tumors.

作者信息

Dong Qian, Xiu Wenli, Tang Benjie, Hiyama Eiso, Austin Mary T, Wu Yeming, Yuan Xiaojun, Zhu Chengzhan, Liu Chengli, Ishibashi Hiroki, Tappa Karthik K, Wang Huanmin, Sun Chuandong, Ma YunTao, Xi Hongwei, Wang Jian, Zhan Jianghua, Ihn Kyong, Shimada Mitsuo, Zhang Mingman, Brindle Mary E, Thomas Patrick B, Fumino Shigehisa, Liu Tao, Lobe Thom, Rolle Udo, Wang Shan, Zhai Xiaowen, Koga Yoshinori, Kinoshita Yoshiaki, Bai Yuzuo, Li Zhaozhu, Wen Zhe, Pan Weikang, Sutyak Krysta M, Giulianotti Pier C

机构信息

Department of Pediatric Surgery, Shandong Provincial Key Laboratory of Digital Medicine and Computer-assisted Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.

出版信息

HPB (Oxford). 2025 Jun;27(6):733-745. doi: 10.1016/j.hpb.2025.03.007. Epub 2025 Mar 11.

DOI:10.1016/j.hpb.2025.03.007

PMID:40133134

Abstract

BACKGROUND

Pediatric liver tumors are predominantly primary malignant tumors, and complete tumor resection with sufficient preservation of liver tissue is crucial for improving prognosis. However, due to the delicate anatomical structure of the pediatric liver and the relatively large size of the tumors, especially in difficult cases, the surgical challenges are substantial. While precision liver surgery are widely applied in clinical practice, pediatric cases require more customized approaches. The application of three-dimensional (3D) visualization technology is crucial for enhancing surgical accuracy, allowing for precise preoperative planning and intraoperative guidance.

METHODS

This consensus was collaboratively developed by 36 experts from eight countries, using the Glaser's state-of-the-art method to review and refine the draft.

RESULTS

The final consensus resulted in 15 international multidisciplinary consensus recommendations on clinical application of 3D visualization in precision surgery for pediatric liver tumors.

CONCLUSION

This consensus will standardize the application of 3D visualization technology in precision surgery for pediatric liver tumors to improve outcomes and reduce risks.

摘要