Application of 3D Printing Technology in Hepatic Resection_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUANGCong-yun ¹ , ZHUJian-hua ¹ , LIUXin ² , ZHANGJun-an ² , LIUChun-gang ² , ZHENGWan-ming ³ , WUQing-song ¹ , LIUHui ¹ , ZHAOJia-feng ¹

1. Department of Hepatobiliary Surgery, Yuebei People's Hospital, Shaoguan 512026, Guangdong Province, China;
2. Department of Radiology, Yuebei People's Hospital, Shaoguan 512026, Guangdong Province, China;
3. Department of Anesthesiology, Yuebei People's Hospital, Shaoguan 512026, Guangdong Province, China;

Corresponding?author：

HUANGCong-yun, Email: qyhuang804@tom.com

Keywords：

Hepatectomy; 3D printing technology

DOI：

10.7507/1007-9424.20150351

Video：

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Objective To explore clinical value of 3D printing technology in hepatic resection. Methods From March to May 2015, multidetector-row computed tomography images of 12 patients, including hepatic carcinoma in 6, hepatic hemangioma in 3, intra-and extra-hepatic bile duct stones in 3, were used for 3D hepatic reconstruction, the final segmentation data were converted to stereolithography files for 3D printing, 50%-70% scale of the full-sized liver model was fabricated by polylactic acid to be used to analyze its anatomical structure, design surgical planning, select the optimal operative route and simulate hepatic resection. Hepatic resection was performed by referring to the 3D printing model. Results The hepatic resections were successful without complications by referring to the preoperative 3D printing models, the average blood loss was 340(100-1000) mL. Conclusion Hepatic resection is more accurate and safe by 3D printing technology.

Citation： HUANGCong-yun, ZHUJian-hua, LIUXin, ZHANGJun-an, LIUChun-gang, ZHENGWan-ming, WUQing-song, LIUHui, ZHAOJia-feng. Application of 3D Printing Technology in Hepatic Resection. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(11): 1351-1353. doi: 10.7507/1007-9424.20150351 Copy

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5.	黃從云, 孫俊旗, 張俊安, 等.門靜脈系統三維解剖及其與左側結直腸癌肝轉移分布的關系.中國普外基礎與臨床雜志, 2013, 20(10):1159-1161.
6.	黃從云, 陳振松, 孫俊旗, 等.精準肝癌切除術(附32例報道).中國普外基礎與臨床雜志, 2010, 17(6):532-537.

1. ?Zein NN, Hanouneh IA, Bishop PD, et al. Three-dimensional print of a liver for preoperative planning in living donor liver transplantation. Liver Transpl, 2013, 19(12):1304-1310.
2. Igami T, Nakamura Y, Hirose T, et al. Application of a three-dimensional print of a liver in hepatectomy for small tumors invisible by intraoperative ultrasonography:preliminary experience. World J Surg, 2014, 38(12):3163-3166.
3. Takagi K, Nanashima A, Abo T, et al. Three-dimensional printing model of liver for operative simulation in perihilar cholangiocarcinoma. Hepatogastroenterology, 2014, 61(136):2315-2316.
4. Souzaki R, Kinoshita Y, Ieiri S, et al. Three-dimensional liver model based on preoperative CT images as a tool to assist in surgical planning for hepatoblastoma in a child. Pediatr Surg Int, 2015, 31(6):593-596.
5. 黃從云, 孫俊旗, 張俊安, 等.門靜脈系統三維解剖及其與左側結直腸癌肝轉移分布的關系.中國普外基礎與臨床雜志, 2013, 20(10):1159-1161.
6. 黃從云, 陳振松, 孫俊旗, 等.精準肝癌切除術(附32例報道).中國普外基礎與臨床雜志, 2010, 17(6):532-537.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of 3D Printing Technology in Hepatic Resection

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