Application of a Three-Dimensional Reconstruction Technique in Liver Autotransplantation for End-Stage Hepatic Alveolar Echinococcosis

被引:41
作者
He, Yi-biao [1 ]
Bai, Lei [1 ]
Jiang, Yi [2 ]
Ji, Xue-wen [1 ]
Tai, Qin-wen [1 ]
Zhao, Jin-ming [1 ]
Zhang, Jin-hui [1 ]
Liu, Wen-ya [2 ]
Wen, Hao [1 ]
机构
[1] Xinjiang Med Univ, Affiliated Hosp 1, Digest & Vasc Surg Ctr, Dept Liver & Laparoscop Surg, Urumqi 830054, Xinjiang, Peoples R China
[2] Xinjiang Med Univ, Affiliated Hosp 1, Med Imaging Res Ctr, Urumqi 830054, Xinjiang, Peoples R China
基金
中国国家自然科学基金;
关键词
Liver autotransplantation; Hepatic alveolar echinococcosis; CT; Three-dimensional reconstruction; Surgical planning; RESECTION; TRANSPLANTATION; HEPATECTOMY; EXPERIENCE; SURGERY; VOLUME;
D O I
10.1007/s11605-015-2842-z
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The purpose of this study was to determine the clinical value of three-dimensional (3D) computer reconstruction technology in pre-operative assessment and surgical planning for liver autotransplantation in patients with end-stage hepatic alveolar echinococcosis (HAE). Fifteen end-stage HAE patients received surgical treatment in our hospital between May 2011 and July 2014. 3D reconstruction and virtual surgeries were performed on diseased livers using a 3D reconstruction system for liver (IQQA-Liver). The feasibility and safety of liver autotransplantation were assessed for successful implementation of surgery. The results were compared with intraoperative conditions and computed tomography (CT) to verify the accuracy of pre-operative evaluation. Fifteen patients underwent liver resections and liver autotransplantation using surgical strategies consistent with pre-operative surgical planning in 3D reconstruction. Furthermore, there was no significant difference between whole-liver volume (2848.26 +/- 798.41 vs. 2598.70 +/- 822.45 cm(3), t = -4.635, P > 0.05) and lesion volume (1159.09 +/- 789.47 vs. 1213.14 +/- 813.76 cm(3), t = -1.959, P > 0.05) measured by 3D and traditional two-dimensional (2D) manual tracing from CT. The remaining liver volumes calculated by 3D and 2D CT were 810.47 +/- 214.05 and 892.00 +/- 262.36 cm(3) (t = -3.275, P > 0.05), with an average error rate of 6.2 and 16.5 %, respectively. The pre-operative remaining liver volumes estimated by the two methods were positively correlated with the actual weight (783.67 +/- 217.74 g) after the surgery (r three-dimensional = 0.976, r multislice CT = 0.883, P < 0.01). An individualized liver reconstruction technique can provide comprehensive anatomic information on livers of patients with end-stage HAE. Pre-operative virtual surgery can effectively improve the success rate of liver autotransplantation and reduce the risks of surgery.
引用
收藏
页码:1457 / 1465
页数:9
相关论文
共 21 条
[1]   Impact of hospital volume on operative mortality for major cancer surgery [J].
Begg, CB ;
Cramer, LD ;
Hoskins, WJ ;
Brennan, MF .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (20) :1747-1751
[2]   Should Possible Recurrence of Disease Contraindicate Liver Transplantation in Patients With End-Stage Alveolar Echinococcosis? A 20-Year Follow-Up Study [J].
Bresson-Hadni, Solange ;
Blagosklonov, Oleg ;
Knapp, Jenny ;
Grenouillet, Frederic ;
Sako, Yasuhito ;
Delabrousse, Eric ;
Brientini, Marie-Pascale ;
Richou, Carine ;
Minello, Anne ;
Antonino, Anca-Teodora ;
Gillet, Michel ;
Ito, Akira ;
Mantion, Georges Andre ;
Vuitton, Dominique Angele .
LIVER TRANSPLANTATION, 2011, 17 (07) :855-865
[3]  
Chui AKK, 2003, AM SURGEON, V69, P441
[4]   Outcomes of Hepatectomy for Hepatolithiasis Based on 3-Dimensional Reconstruction Technique [J].
Fang, Chi-hua ;
Liu, Jun ;
Fan, Ying-fang ;
Yang, Jian ;
Xiang, Nan ;
Zeng, Ning .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2013, 217 (02) :280-288
[5]   Ex situ resection techniques and liver autotransplantation: Last resource for otherwise unresectable malignancy [J].
Gruttadauria, S ;
Marsh, JW ;
Bartlett, DL ;
Gridelli, B ;
Marcos, A .
DIGESTIVE DISEASES AND SCIENCES, 2005, 50 (10) :1829-1835
[6]   Living Donor Liver Transplantation for Alveolar Echinococcus Is a Difficult Procedure [J].
Hatipoglu, S. ;
Bulbuloglu, B. ;
Piskin, T. ;
Kayaalp, C. ;
Yilmaz, S. .
TRANSPLANTATION PROCEEDINGS, 2013, 45 (03) :1028-1030
[7]   WHO classification of alveolar echinococcosis: Principles and application [J].
Kern, P ;
Wen, H ;
Sato, N ;
Vuitton, DA ;
Gruener, B ;
Shao, YM ;
Delabrousse, E ;
Kratzer, W ;
Bresson-Hadni, S .
PARASITOLOGY INTERNATIONAL, 2006, 55 :S283-S287
[8]   Experience of liver transplantation for incurable alveolar echinococcosis: A 45-case European collaborative report [J].
Koch, SP ;
Bresson-Hadni, S ;
Miguet, JP ;
Crumbach, JP ;
Gillet, M ;
Mantion, GA ;
Heyd, B ;
Vuitton, DA ;
Minello, A ;
Kurtz, S .
TRANSPLANTATION, 2003, 75 (06) :856-863
[9]   Long-term experience after ex situ liver surgery [J].
Oldhafer, KJ ;
Lang, H ;
Schlitt, HJ ;
Hauss, J ;
Raab, R ;
Klempnauer, J ;
Pichlmayr, R .
SURGERY, 2000, 127 (05) :520-527
[10]   Three-dimensional (3D) visualization of the liver for planing extensive liver resections [J].
Oldhafer, KJ ;
Högemann, D ;
Stamm, G ;
Raab, R ;
Peitgen, HO ;
Galanski, M .
CHIRURG, 1999, 70 (03) :233-238