Abstract:
INTRODUCTION:Three-dimensional (3D) imaging instead of two-dimensional (2D) computed tomography (CT) for diagnosis and preoperative planning in infants and young children with complex liver tumors is a promising technique for precision hepatectomy. METHODS:This study was a retrospective analysis of 26 infants and young children with giant liver tumors involving the hepatic hilum who underwent precise hepatectomy at the Affiliated Hospital of Qingdao University between February 2012 and January 2015. All patients received upper abdominal contrast-enhanced CT scanning before surgery. 16 patients used Hisense CAS system for 3D reconstruction as the reconstruction group. While ten patients underwent 3D CT reconstruction by the CT Workstation as the control group. The clinical outcomes were analyzed and compared between the two groups. The 3D reconstruction of abdominal organs and blood vessels was generated using the Hisense CAS system. Diagnosis and preoperative planning assisted by the system was used for preoperative and intraoperative decision-making for precise hepatectomy. RESULTS:All patients underwent successful surgery. The 3D models clearly demonstrated the association of liver tumors with the intrahepatic vascular system and provided a preoperative assessment of resectability, assisting surgeons in preoperative procedural planning. Anatomic hepatectomy was successfully completed in the reconstruction group. The mean operation time was shorter in the reconstruction group (137.81 ± 17.51 min) than in the control group (192 ± 34.66 min) (P < 0.01). The mean intraoperative blood loss was lesser in the reconstruction group (21.81 ± 14.05 ml) than in the control group (53.50 ± 21.35 ml) (P < 0.01). The difference was statistically significant. DISCUSSION:2D CT scan images cannot accurately display the spatial relationship between the tumor and surrounding vasculature. The 3D reconstruction model used in this study gave detailed and accurate anatomical information and allowed for the assessment of tumor resectability and provided a detailed road map for preoperative decision-making and predicted the postoperative liver function. CONCLUSIONS:3D visualization technology provides preoperative assessment and allows individualized surgical planning. Surgical controllability, accuracy, and safety can be improved in infants and young children undergoing precise hepatectomy for complex liver tumors.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Su L,Dong Q,Zhang H,Zhou X,Chen Y,Hao X,Li Xdoi
10.1007/s00383-016-3864-7subject
Has Abstractpub_date
2016-04-01 00:00:00pages
387-95issue
4eissn
0179-0358issn
1437-9813pii
10.1007/s00383-016-3864-7journal_volume
32pub_type
杂志文章abstract::A case of retrocecal appendicitis is described in a 6-year-old male child who presented with thigh abscess. The presence of a positive psoas stretch test, feculent discharge, an enteric growth on bacteriological examination, and intraabdominal fluid collection on abdominal ultrasound provided clues to the presence of ...
journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-004-1356-7
更新日期:2005-04-01 00:00:00
abstract:PURPOSE:Evaluate the management of hydrocephalus in pediatric patients in the Eastern Democratic Republic of Congo by a general surgeon. METHODS:Retrospective review of a single institution in the province of North Kivu. Patient charts and surgical notes were reviewed from 2003 to 2016. RESULTS:116 procedures were pe...
journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-018-4238-0
更新日期:2018-04-01 00:00:00
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-010-2745-8
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s003830050572
更新日期:1999-01-01 00:00:00
abstract::Controversy exists on the optimal age for elective resection of asymptomatic congenital pulmonary airway malformation. Current recommendations vary widely, highlighting the overall lack of consensus. A systematic search of Embase, MEDLINE, CINAL, and CENTRAL was conducted in January 2016. Identified citations were scr...
journal_title:Pediatric surgery international
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00383-017-4079-2
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abstract:BACKGROUND/PURPOSE:To determine the frequency and characteristics of suspected cow's milk protein allergy (CMPA) in infants with gastroschisis and response to change in milk. METHODS:A retrospective cohort study of 111 consecutive infants with gastroschisis. RESULTS:64 episodes suggesting non-IgE-mediated CMPA occurr...
journal_title:Pediatric surgery international
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doi:10.1007/s00383-015-3664-5
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-010-2707-1
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-015-3749-1
更新日期:2015-09-01 00:00:00
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journal_title:Pediatric surgery international
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journal_title:Pediatric surgery international
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.1007/s00383-018-4409-z
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journal_title:Pediatric surgery international
pub_type: 杂志文章
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journal_title:Pediatric surgery international
pub_type: 杂志文章,评审
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journal_title:Pediatric surgery international
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-011-2912-6
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doi:10.1007/s00383-008-2153-5
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journal_title:Pediatric surgery international
pub_type: 杂志文章,评审
doi:10.1007/s00383-014-3582-y
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/BF00183739
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/BF00180090
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journal_title:Pediatric surgery international
pub_type: 杂志文章,评审
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journal_title:Pediatric surgery international
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s003830050342
更新日期:1998-07-01 00:00:00
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s003830050735
更新日期:2000-01-01 00:00:00
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-007-1971-1
更新日期:2008-03-01 00:00:00
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-015-3817-6
更新日期:2016-01-01 00:00:00
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journal_title:Pediatric surgery international
pub_type: 杂志文章
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更新日期:2001-07-01 00:00:00
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journal_title:Pediatric surgery international
pub_type: 杂志文章
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更新日期:2011-08-01 00:00:00
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-011-2883-7
更新日期:2011-07-01 00:00:00
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journal_title:Pediatric surgery international
pub_type: 杂志文章
doi:10.1007/s00383-007-1875-0
更新日期:2007-08-01 00:00:00