Research progress on application of 3D visualization technology in laparoscopic precise hepatectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHENG Chenghong ¹ ,  JIANG Xiaozhong ^2,3 , YU Yu ^2,3

1. Department of Hepatobiliary Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P. R. China;
2. Department of Hepatobiliary and Pancreatic Surgery, Yibin Second People’s Hospital, Yibin, Sichuan 644000, P. R. China;
3. Center for Diagnosis and Treatment of Digestive Diseases, Yibin Second People’s Hospital, Yibin, Sichuan 644000, P. R. China;

Corresponding?author：

JIANG Xiaozhong, Email: jiangxiaozhong66@163.com

Keywords：

3D visualization technology; laparoscope; precise hepatectomy; review

DOI：

10.7507/1007-9424.201809063

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the role of 3D visualization technology in the laparoscopic precise hepatectomy. Methods To retrieve the literatures about the application of 3D visualization technology in laparoscopic precise hepatectomy, and summarize and analyzed them. Results The application of 3D visualization in laparoscopic precise hepatectomy could effectively reduce the operative time, blood loss, blood transfusion rate, and total complication rate. The application of 3D visualization in preoperative evaluation of the resection surface and residual liver volume had been relatively mature. Although many organizations try to use 3D visualization in laparoscopic hepatectomy, such as laser registration and real-time intraoperative navigation, it had not been widely used in clinic because of technical limitations. Conclusions Existing research results show that, the application of 3D visualization technology in laparoscopic precise hepatectomy can improve the resectability of lesions, increase perioperative safety, but intraoperative navigation is still need to be further developed before it is expected to be widely used in clinical practice. Existing evidence of increased benefit from laparoscopic precise hepatectomy with 3D reconstruction remains limited, and more rigorous randomized controlled trials of large cases are needed to confirm this.

Citation： ZHENG Chenghong, JIANG Xiaozhong, YU Yu. Research progress on application of 3D visualization technology in laparoscopic precise hepatectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(3): 364-368. doi: 10.7507/1007-9424.201809063 Copy

1.	姚剛, 曹峻, 谷昊, 等. 腹腔鏡與開腹肝切除術比較治療肝癌的 Meta 分析. 中國循證醫學雜志, 2013, 13(5): 588-595.
2.	Reich H, McGlynn F, DeCaprio J, et al. Laparoscopic excision of benign liver lesions. Obstet Gynecol, 1991, 78(5 Pt 2): 956-958.
3.	許大彬. 中國大陸腹腔鏡肝切除術發展歷史及現狀. 腹腔鏡外科雜志, 2016, 21(9): 714-716.
4.	Yin Z, Fan X, Ye H, et al. Short- and long-term outcomes after laparoscopic and open hepatectomy for hepatocellular carcinoma: a global systematic review and meta-analysis. Ann Surg Oncol, 2013, 20(4): 1203-1215.
5.	劉榮, 黃志強, 周寧新, 等. 腹腔鏡肝切除術的手術入路探討. 中華醫學雜志, 2004, 84(3): 219-221.
6.	原發性肝癌診療規范 (2017 年版). 中國實用外科雜志, 2017, 37(7): 705-720.
7.	董家鴻, 黃志強. 精準肝切除—21 世紀肝臟外科新理念. 中華外科雜志, 2009, 47(21): 1601-1605.
8.	方馳華, 方兆山, 范應方, 等. 三維可視化、3D 打印及 3D 腹腔鏡在肝腫瘤外科診治中的應用. 南方醫科大學學報, 2015, 35(5): 639-645.
9.	張傳澤. 基于三維重建技術的肝體積和結構評估在肝切除術中的應用. 中國醫藥科學, 2018, 8(11): 243-245, 253.
10.	李剛. CT 三維重建技術在精準肝切除手術規劃的研究. 昆明: 昆明醫科大學, 2016.
11.	張紹祥, 姜洪池, 梁力建, 等. 計算機輔助聯合吲哚菁綠分子熒光影像技術在肝臟腫瘤診斷和手術導航中的應用專家共識. 中國實用外科雜志, 2017, 37(5): 531-538.
12.	邵賢, 賈乃昕, 陳佳慧, 等. 應用三維重建及虛擬肝切除系統的腹腔鏡下精準切除右肝腫瘤. 中華普通外科雜志, 2016, 31(7): 538-540.
13.	賈萌. 三維重建技術聯合腹腔鏡精準肝切除術治療原發性肝癌的臨床療效觀察. 肝膽外科雜志, 2017, 25(2): 115-117, 122.
14.	范應方, 向飛, 蔡偉, 等. 基于三維可視化技術的右半肝門靜脈 3D 分型及分段. 南方醫科大學學報, 2016, 36(1): 26-31.
15.	周顯軍, 董蒨, 朱呈瞻, 等. 數字化重建技術在基于肝臟門靜脈結構的肝段劃分中的作用及意義. 中華外科雜志, 2018, 56(1): 61-67.
16.	Tranchart H, Di Giuro G, Lainas P, et al. Laparoscopic liver resection with selective prior vascular control. Am J Surg, 2013, 205(1): 8-14.
17.	Cai X, Li Z, Zhang Y, et al. Laparoscopic liver resection and the learning curve: a 14-year, single-center experience. Surg Endosc, 2014, 28(4): 1334-1341.
18.	陳智遠, 韋瑋, 郭榮平, 等. 大肝癌切除術中輸血與患者預后關系的探討. 中國腫瘤臨床, 2010, 37(8): 457-460, 466.
19.	張朋飛, 于松寧, 雷鵬, 等. 3D 打印技術在精準肝切除術前評估的應用. 中國普通外科雜志, 2017, 26(7): 831-837.
20.	王壯雄, 李林容, 王芳元, 等. 虛擬和增強現實技術在肝臟外科中的應用. 實用醫學雜志, 2018, 34(7): 1210-1212.
21.	Yang T, Tan T, Yang J, et al. The impact of using three-dimensional printed liver models for patient education. J Int Med Res, 2018, 46(4): 1570-1578.
22.	周偉平, 李鵬鵬. 三維可視化技術基礎上的肝癌切除—精準與個性化的結合. 中國實用外科雜志, 2018, 38(4): 378-380.
23.	董家鴻, 鄭樹森, 陳孝平, 等. 肝切除術前肝臟儲備功能評估的專家共識 (2011 版). 中華消化外科雜志, 2011, 10(1): 20-25.
24.	Mise Y, Sakamoto Y, Ishizawa T, et al. A worldwide survey of the current daily practice in liver surgery. Liver Cancer, 2013, 2(1): 55-66.
25.	Cai W, Fan Y, Hu H, et al. Postoperative liver volume was accurately predicted by a medical image three dimensional visualization system in hepatectomy for liver cancer. Surg Oncol, 2017, 26(2): 188-194.
26.	Zhang J, Qiao QL, Guo XC, et al. Application of three-dimensional visualization technique in preoperative planning of progressive hilar cholangiocarcinoma. Am J Transl Res, 2018, 10(6): 1730-1735.
27.	Mise Y, Satou S, Shindoh J, et al. Three-dimensional volumetry in 107 normal livers reveals clinically relevant inter-segment variation in size. HPB (Oxford), 2014, 16(5): 439-447.
28.	Hallet J, Gayet B, Tsung A, et al. Systematic review of the use of pre-operative simulation and navigation for hepatectomy: current status and future perspectives. J Hepatobiliary Pancreat Sci, 2015, 22(5): 353-362.
29.	Zhao D, Lau WY, Zhou W, et al. Impact of three-dimensional visualization technology on surgical strategies in complex hepatic cancer. Biosci Trends, 2018, 12(5): 476-483.
30.	Gruttadauria S, Vasta F, Minervini MI, et al. Significance of the effective remnant liver volume in major hepatectomies. Am Surg, 2005, 71(3): 235-240.
31.	李連海, 王建偉, 劉斌, 等. 三維重建在肝切除術前評估中的臨床應用效果. 臨床肝膽病雜志, 2016, 32(5): 938-941.
32.	Takamoto T, Hashimoto T, Ogata S, et al. Planning of anatomical liver segmentectomy and subsegmentectomy with 3-dimensional simulation software. Am J Surg, 2013, 206(4): 530-538.
33.	項楠, 方馳華, 范應方, 等. 三維可視化技術聯合 3D 腹腔鏡在肝膽外科的應用. 中華消化外科雜志, 2014, 13(4): 306-309.
34.	方馳華, 張文宇, 楊劍. 三維可視化聯合 3D 腹腔鏡右半肝切除術的關鍵技術和優勢. 中華普外科手術學雜志: 電子版, 2017, 11(5): 364-367.
35.	Oshiro Y, Yano H, Mitani J, et al. Novel 3-dimensional virtual hepatectomy simulation combined with real-time deformation. World J Gastroenterol, 2015, 21(34): 9982-9992.
36.	Oshiro Y, Ohkohchi N. Three-dimensional liver surgery simulation: computer-assisted surgical planning with three-dimensional simulation software and three-dimensional printing. Tissue Eng Part A, 2017, 23(11-12): 474-480.
37.	Aoki T, Murakami M, Koizumi T, et al. Three-dimensional virtual endoscopy for laparoscopic and thoracoscopic liver resection. J Am Coll Surg, 2015, 221(2): e21-e26.
38.	Kingham TP, Jayaraman S, Clements LW, et al. Evolution of image-guided liver surgery: transition from open to laparoscopic procedures. J Gastrointest Surg, 2013, 17(7): 1274-1282.
39.	Peterlík I, Courtecuisse H, Rohling R, et al. Fast elastic registration of soft tissues under large deformations. Med Image Anal, 2018, 45: 24-40.
40.	Lv A, Li Y, Qian HG, et al. Precise navigation of the surgical plane with intraoperative real-time virtual sonography and 3D simulation in liver resection. J Gastrointest Surg, 2018, 22(10): 1814-1818.

1. 姚剛, 曹峻, 谷昊, 等. 腹腔鏡與開腹肝切除術比較治療肝癌的 Meta 分析. 中國循證醫學雜志, 2013, 13(5): 588-595.
2. Reich H, McGlynn F, DeCaprio J, et al. Laparoscopic excision of benign liver lesions. Obstet Gynecol, 1991, 78(5 Pt 2): 956-958.
3. 許大彬. 中國大陸腹腔鏡肝切除術發展歷史及現狀. 腹腔鏡外科雜志, 2016, 21(9): 714-716.
4. Yin Z, Fan X, Ye H, et al. Short- and long-term outcomes after laparoscopic and open hepatectomy for hepatocellular carcinoma: a global systematic review and meta-analysis. Ann Surg Oncol, 2013, 20(4): 1203-1215.
5. 劉榮, 黃志強, 周寧新, 等. 腹腔鏡肝切除術的手術入路探討. 中華醫學雜志, 2004, 84(3): 219-221.
6. 原發性肝癌診療規范 (2017 年版). 中國實用外科雜志, 2017, 37(7): 705-720.
7. 董家鴻, 黃志強. 精準肝切除—21 世紀肝臟外科新理念. 中華外科雜志, 2009, 47(21): 1601-1605.
8. 方馳華, 方兆山, 范應方, 等. 三維可視化、3D 打印及 3D 腹腔鏡在肝腫瘤外科診治中的應用. 南方醫科大學學報, 2015, 35(5): 639-645.
9. 張傳澤. 基于三維重建技術的肝體積和結構評估在肝切除術中的應用. 中國醫藥科學, 2018, 8(11): 243-245, 253.
10. 李剛. CT 三維重建技術在精準肝切除手術規劃的研究. 昆明: 昆明醫科大學, 2016.
11. 張紹祥, 姜洪池, 梁力建, 等. 計算機輔助聯合吲哚菁綠分子熒光影像技術在肝臟腫瘤診斷和手術導航中的應用專家共識. 中國實用外科雜志, 2017, 37(5): 531-538.
12. 邵賢, 賈乃昕, 陳佳慧, 等. 應用三維重建及虛擬肝切除系統的腹腔鏡下精準切除右肝腫瘤. 中華普通外科雜志, 2016, 31(7): 538-540.
13. 賈萌. 三維重建技術聯合腹腔鏡精準肝切除術治療原發性肝癌的臨床療效觀察. 肝膽外科雜志, 2017, 25(2): 115-117, 122.
14. 范應方, 向飛, 蔡偉, 等. 基于三維可視化技術的右半肝門靜脈 3D 分型及分段. 南方醫科大學學報, 2016, 36(1): 26-31.
15. 周顯軍, 董蒨, 朱呈瞻, 等. 數字化重建技術在基于肝臟門靜脈結構的肝段劃分中的作用及意義. 中華外科雜志, 2018, 56(1): 61-67.
16. Tranchart H, Di Giuro G, Lainas P, et al. Laparoscopic liver resection with selective prior vascular control. Am J Surg, 2013, 205(1): 8-14.
17. Cai X, Li Z, Zhang Y, et al. Laparoscopic liver resection and the learning curve: a 14-year, single-center experience. Surg Endosc, 2014, 28(4): 1334-1341.
18. 陳智遠, 韋瑋, 郭榮平, 等. 大肝癌切除術中輸血與患者預后關系的探討. 中國腫瘤臨床, 2010, 37(8): 457-460, 466.
19. 張朋飛, 于松寧, 雷鵬, 等. 3D 打印技術在精準肝切除術前評估的應用. 中國普通外科雜志, 2017, 26(7): 831-837.
20. 王壯雄, 李林容, 王芳元, 等. 虛擬和增強現實技術在肝臟外科中的應用. 實用醫學雜志, 2018, 34(7): 1210-1212.
21. Yang T, Tan T, Yang J, et al. The impact of using three-dimensional printed liver models for patient education. J Int Med Res, 2018, 46(4): 1570-1578.
22. 周偉平, 李鵬鵬. 三維可視化技術基礎上的肝癌切除—精準與個性化的結合. 中國實用外科雜志, 2018, 38(4): 378-380.
23. 董家鴻, 鄭樹森, 陳孝平, 等. 肝切除術前肝臟儲備功能評估的專家共識 (2011 版). 中華消化外科雜志, 2011, 10(1): 20-25.
24. Mise Y, Sakamoto Y, Ishizawa T, et al. A worldwide survey of the current daily practice in liver surgery. Liver Cancer, 2013, 2(1): 55-66.
25. Cai W, Fan Y, Hu H, et al. Postoperative liver volume was accurately predicted by a medical image three dimensional visualization system in hepatectomy for liver cancer. Surg Oncol, 2017, 26(2): 188-194.
26. Zhang J, Qiao QL, Guo XC, et al. Application of three-dimensional visualization technique in preoperative planning of progressive hilar cholangiocarcinoma. Am J Transl Res, 2018, 10(6): 1730-1735.
27. Mise Y, Satou S, Shindoh J, et al. Three-dimensional volumetry in 107 normal livers reveals clinically relevant inter-segment variation in size. HPB (Oxford), 2014, 16(5): 439-447.
28. Hallet J, Gayet B, Tsung A, et al. Systematic review of the use of pre-operative simulation and navigation for hepatectomy: current status and future perspectives. J Hepatobiliary Pancreat Sci, 2015, 22(5): 353-362.
29. Zhao D, Lau WY, Zhou W, et al. Impact of three-dimensional visualization technology on surgical strategies in complex hepatic cancer. Biosci Trends, 2018, 12(5): 476-483.
30. Gruttadauria S, Vasta F, Minervini MI, et al. Significance of the effective remnant liver volume in major hepatectomies. Am Surg, 2005, 71(3): 235-240.
31. 李連海, 王建偉, 劉斌, 等. 三維重建在肝切除術前評估中的臨床應用效果. 臨床肝膽病雜志, 2016, 32(5): 938-941.
32. Takamoto T, Hashimoto T, Ogata S, et al. Planning of anatomical liver segmentectomy and subsegmentectomy with 3-dimensional simulation software. Am J Surg, 2013, 206(4): 530-538.
33. 項楠, 方馳華, 范應方, 等. 三維可視化技術聯合 3D 腹腔鏡在肝膽外科的應用. 中華消化外科雜志, 2014, 13(4): 306-309.
34. 方馳華, 張文宇, 楊劍. 三維可視化聯合 3D 腹腔鏡右半肝切除術的關鍵技術和優勢. 中華普外科手術學雜志: 電子版, 2017, 11(5): 364-367.
35. Oshiro Y, Yano H, Mitani J, et al. Novel 3-dimensional virtual hepatectomy simulation combined with real-time deformation. World J Gastroenterol, 2015, 21(34): 9982-9992.
36. Oshiro Y, Ohkohchi N. Three-dimensional liver surgery simulation: computer-assisted surgical planning with three-dimensional simulation software and three-dimensional printing. Tissue Eng Part A, 2017, 23(11-12): 474-480.
37. Aoki T, Murakami M, Koizumi T, et al. Three-dimensional virtual endoscopy for laparoscopic and thoracoscopic liver resection. J Am Coll Surg, 2015, 221(2): e21-e26.
38. Kingham TP, Jayaraman S, Clements LW, et al. Evolution of image-guided liver surgery: transition from open to laparoscopic procedures. J Gastrointest Surg, 2013, 17(7): 1274-1282.
39. Peterlík I, Courtecuisse H, Rohling R, et al. Fast elastic registration of soft tissues under large deformations. Med Image Anal, 2018, 45: 24-40.
40. Lv A, Li Y, Qian HG, et al. Precise navigation of the surgical plane with intraoperative real-time virtual sonography and 3D simulation in liver resection. J Gastrointest Surg, 2018, 22(10): 1814-1818.

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Research progress on application of 3D visualization technology in laparoscopic precise hepatectomy

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