Application of Three-Dimensional Reconstruction in Preoperative Evaluation of Hepatic Alveolar Echinococcosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YANGDANCairang ^1,2 , WANGZhi-xin ^1,2 , RENLi ^1,2 , ZHANGLing-qiang ^1,2 , WANGHai-jiu ^1,2 , ZHOUYing ^1,2 , HOULi-zhao ^1,2 ,  FANHai-ning ^1,2

1. Department of Hepatopancreatobiliary Surgery, Affiliated Hospital of Qinghai University, Xining 810001, Qinghai Province, China;
2. Qinghai Province Key Laboratory of Hydatid Disease Research, Xining 810001, Qinghai Province, China;

Corresponding?author：

FANHai-ning, Email: fanhaining@medmail.com.cn

Keywords：

Hepatic alveolar echinococcosis; Three-dimensional reconstruction; Preoperative evaluation

DOI：

10.7507/1007-9424.20160140

Video：

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Objective To explore potential value of three-dimensional reconstruction technique for preoperative evaluation of hepatic alveolar echinococcosis. Methods Twenty-one cases of hepatic alveolar echinococcosis proved by postoperative pathological examination in Affiliated Hospital of Qinghai University from October 2013 to March 2014 were analyzed retrospectively. The three periods of patients’ liver dynamic thin layerCTscan images were collected and imported in three-dimensional reconstruction software by DICOM format. The volume of the virtual resected liver tissue was calculated by software, and then was compared with the actual resected liver tissue volume. Results The resected liver volume was (761.94±505.77) mL and (756.19±501.78) mL in the virtual surgery and in the veritable surgery, respectively. The proportion of resected liver in the total liver was (39.27±18.75)% and (38.95±16.99)% in the virtual surgery and in the veritable surgery, respectively. The resected liver volume had no significant difference between the virtual surgery and veritable surgery (P>0.05), which a positive relation (r=0.989, P<0.001). Conclusion The limited preliminary data in this study show that three-dimensional reconstruction technique and virtual planning system for surgery could accurately guide resection of lesion and provide preoperative guidance of accurate liver resection for hepatic alveolar echinococcosis.

Citation： YANGDANCairang, WANGZhi-xin, RENLi, ZHANGLing-qiang, WANGHai-jiu, ZHOUYing, HOULi-zhao, FANHai-ning. Application of Three-Dimensional Reconstruction in Preoperative Evaluation of Hepatic Alveolar Echinococcosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(5): 526-529. doi: 10.7507/1007-9424.20160140 Copy

1.	?Parsak CK, Demiryurek HH, Inal M, et al. Alveolar hydatid disease:imaging findings and surgical approach. Acta Chir Belg, 2007, 107(5):572-577.
2.	Ayifuhan A, Tuerganaili A, Jun C, et al. Surgical treatment for hepatic alveolar echinococcosis:report of 50 cases. Hepatogastroenterology, 2012, 59(115):790-793.
3.	張瀚之, 陳哲宇, 嚴律南, 等. 肝包蟲病外科治療的單中心經驗. 中國普外基礎與臨床雜志, 2015, 22(2):144-148.
4.	Brunetti E, Kern P, Vuitton DA. Writing Panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop, 2010, 114(1):1-16.
5.	Atanasov G, Benckert C, Thelen A, et al. Alveolar echinococcosisspreading disease challenging clinicians:a case report and literature review. World J Gastroenterol, 2013, 19(26):4257-4261.
6.	Yu KC, Ritman EL, Higgins WE. System for the analysis and visualization of large 3D anatomical trees. Comput Biol Med, 2007, 37(12):1802-1820.
7.	Wigmore SJ, Redhead DN, Yan XJ, et al. Virtual hepatic resection using three-dimensional reconstruction of helical computed tomography angioportograms. Ann Surg, 2001, 233(2):221-226.
8.	范毓東, 董家鴻. 虛擬手術系統在肝臟手術方案設計中的應用. 外科理論與實踐, 2004, 9(4):272-274.
9.	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.
10.	董家鴻, 黃志強. 倡導精準肝臟外科重現普羅米修斯神話. 中華消化外科雜志, 2010, 9(1):4-5.
11.	董家鴻. 肝細胞癌治療理念與策略的轉變. 中華消化外科雜志, 2009, 8(2):85-87.
12.	廖雯俊, 鄔林泉, 傅華群, 等. 三維模擬技術在精準肝臟切除中的應用. 中華肝膽外科雜志, 2011, 17(4):292-295.
13.	Numminen K, Sipila O, Makisalo H. Preoperative hepatic 3D models:virtual liver resection using three-dimensional imaging technique. Eur J Radiol, 2005, 56(2):179-184.
14.	Lamadé W, Glombitza G, Fischer L, et al. The impact of 3-dimensional reconstructions on operation planning in liver surgery. Arch Surg, 2000, 135(11):1256-1261.
15.	Frericks BB, Caldarone FC, Nashan B, et al.3DCTmodeling of hepatic vessel architecture and volume calculation in living donated liver transplantation. Eur Radiol, 2004, 14(2):326-333.
16.	Frericks BB, Kirchhoff TD, Shin HO, et al. Preoperative volume calculation of the hepatic venous draining areas with multi-detector rowCTin adult llying donor liver transplantation:Impact on surgical procedure. Eur Radiol, 2006, 16(12):2803-2810.
17.	黃從云, 孟志華, 陳振松, 等. 虛擬肝切除技術在肝癌切除中的臨床應用. 中華肝膽外科雜志, 2010, 16(4):249-252.
18.	馬榮花, 郭亞民, 朱海宏, 等. 泡型肝包蟲病患者肝切除術后肝儲備功能的評價參數. 世界華人消化雜志, 2015, 23(2):308-312.
19.	白延霖, 馬榮花, 趙克昌. 泡型肝包蟲病患者肝切除術后標準化殘肝體積與肝功能代償不全的關系. 肝膽胰外科雜志, 2015, 27(4):285-287.
20.	江友.個體化肝臟三維可視化模型虛擬手術在精準肝切除中的應用研究. 廣州醫學院, 2011.
21.	Fenster A, Downey DB.3-D ultrasound imaging:a review. IEEE Engineering in Medicine and Biology Magazine, 1996, 15(6):41-51.
22.	何翼彪. 三維重建技術在精準肝切除治療原發性肝癌中的臨床應用. 新疆醫科大學, 2012.
23.	Saito S, Yamanaka J, Miura K, et al. A novel 3D hepatectomy simulation based on liver circulation:application to liver resection and transplantation. Hepatology, 2005, 41(6):1297-1304.
24.	Elwood D, Pomposelli JJ. Hepatobiliary surgery:lessons learned from live donor hepatectomy. Surg Clin N Am, 2006, 86(5):1207-1217.
25.	張志偉, 陳孝平, 胡道予, 等. 多排螺旋CT三維重建在肝臟外科中的應用. 中國實用外科雜志, 2004, 24(11):666-668.
26.	蔡守旺, 楊世忠, 孟翔飛, 等. 三維重建技術聯合持久美藍染色法在精準解剖性肝切除術中的應用. 中華消化外科雜志, 2012, 11(6):511-513.
27.	何翼彪, 白磊, 吳磊, 等. 數字化三維重建系統在肝泡型包蟲病治療中的應用. 中華消化外科雜志, 2012, 11(2):120-123.
28.	何翼彪, 白磊, 吐爾干艾力·阿吉, 等. 數字化三維重建技術在肝泡型包蟲病肝移植中的應用. 中華肝臟外科手術學電子雜志, 2015, 4(5):279-283.
29.	林科燦. 肝臟三維重建及虛擬肝臟手術規劃臨床應用的研究. 福建醫科大學, 2008.

1. ?Parsak CK, Demiryurek HH, Inal M, et al. Alveolar hydatid disease:imaging findings and surgical approach. Acta Chir Belg, 2007, 107(5):572-577.
2. Ayifuhan A, Tuerganaili A, Jun C, et al. Surgical treatment for hepatic alveolar echinococcosis:report of 50 cases. Hepatogastroenterology, 2012, 59(115):790-793.
3. 張瀚之, 陳哲宇, 嚴律南, 等. 肝包蟲病外科治療的單中心經驗. 中國普外基礎與臨床雜志, 2015, 22(2):144-148.
4. Brunetti E, Kern P, Vuitton DA. Writing Panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop, 2010, 114(1):1-16.
5. Atanasov G, Benckert C, Thelen A, et al. Alveolar echinococcosisspreading disease challenging clinicians:a case report and literature review. World J Gastroenterol, 2013, 19(26):4257-4261.
6. Yu KC, Ritman EL, Higgins WE. System for the analysis and visualization of large 3D anatomical trees. Comput Biol Med, 2007, 37(12):1802-1820.
7. Wigmore SJ, Redhead DN, Yan XJ, et al. Virtual hepatic resection using three-dimensional reconstruction of helical computed tomography angioportograms. Ann Surg, 2001, 233(2):221-226.
8. 范毓東, 董家鴻. 虛擬手術系統在肝臟手術方案設計中的應用. 外科理論與實踐, 2004, 9(4):272-274.
9. 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.
10. 董家鴻, 黃志強. 倡導精準肝臟外科重現普羅米修斯神話. 中華消化外科雜志, 2010, 9(1):4-5.
11. 董家鴻. 肝細胞癌治療理念與策略的轉變. 中華消化外科雜志, 2009, 8(2):85-87.
12. 廖雯俊, 鄔林泉, 傅華群, 等. 三維模擬技術在精準肝臟切除中的應用. 中華肝膽外科雜志, 2011, 17(4):292-295.
13. Numminen K, Sipila O, Makisalo H. Preoperative hepatic 3D models:virtual liver resection using three-dimensional imaging technique. Eur J Radiol, 2005, 56(2):179-184.
14. Lamadé W, Glombitza G, Fischer L, et al. The impact of 3-dimensional reconstructions on operation planning in liver surgery. Arch Surg, 2000, 135(11):1256-1261.
15. Frericks BB, Caldarone FC, Nashan B, et al.3DCTmodeling of hepatic vessel architecture and volume calculation in living donated liver transplantation. Eur Radiol, 2004, 14(2):326-333.
16. Frericks BB, Kirchhoff TD, Shin HO, et al. Preoperative volume calculation of the hepatic venous draining areas with multi-detector rowCTin adult llying donor liver transplantation:Impact on surgical procedure. Eur Radiol, 2006, 16(12):2803-2810.
17. 黃從云, 孟志華, 陳振松, 等. 虛擬肝切除技術在肝癌切除中的臨床應用. 中華肝膽外科雜志, 2010, 16(4):249-252.
18. 馬榮花, 郭亞民, 朱海宏, 等. 泡型肝包蟲病患者肝切除術后肝儲備功能的評價參數. 世界華人消化雜志, 2015, 23(2):308-312.
19. 白延霖, 馬榮花, 趙克昌. 泡型肝包蟲病患者肝切除術后標準化殘肝體積與肝功能代償不全的關系. 肝膽胰外科雜志, 2015, 27(4):285-287.
20. 江友.個體化肝臟三維可視化模型虛擬手術在精準肝切除中的應用研究. 廣州醫學院, 2011.
21. Fenster A, Downey DB.3-D ultrasound imaging:a review. IEEE Engineering in Medicine and Biology Magazine, 1996, 15(6):41-51.
22. 何翼彪. 三維重建技術在精準肝切除治療原發性肝癌中的臨床應用. 新疆醫科大學, 2012.
23. Saito S, Yamanaka J, Miura K, et al. A novel 3D hepatectomy simulation based on liver circulation:application to liver resection and transplantation. Hepatology, 2005, 41(6):1297-1304.
24. Elwood D, Pomposelli JJ. Hepatobiliary surgery:lessons learned from live donor hepatectomy. Surg Clin N Am, 2006, 86(5):1207-1217.
25. 張志偉, 陳孝平, 胡道予, 等. 多排螺旋CT三維重建在肝臟外科中的應用. 中國實用外科雜志, 2004, 24(11):666-668.
26. 蔡守旺, 楊世忠, 孟翔飛, 等. 三維重建技術聯合持久美藍染色法在精準解剖性肝切除術中的應用. 中華消化外科雜志, 2012, 11(6):511-513.
27. 何翼彪, 白磊, 吳磊, 等. 數字化三維重建系統在肝泡型包蟲病治療中的應用. 中華消化外科雜志, 2012, 11(2):120-123.
28. 何翼彪, 白磊, 吐爾干艾力·阿吉, 等. 數字化三維重建技術在肝泡型包蟲病肝移植中的應用. 中華肝臟外科手術學電子雜志, 2015, 4(5):279-283.
29. 林科燦. 肝臟三維重建及虛擬肝臟手術規劃臨床應用的研究. 福建醫科大學, 2008.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of Three-Dimensional Reconstruction in Preoperative Evaluation of Hepatic Alveolar Echinococcosis

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