Abstract
Liver surgery has evolved constantly in the last decades, benefiting from technological innovations that have permitted great reduction in surgical morbidity and mortality. One emerging technology which is still in continuous refinement is 3D virtual reconstruction and visualisation. This technology permits accurate surgical planning by highlighting tumour location and its relation to local vessels and biliary drainage, portal, arterial and biliary endo-navigation and by computation of future liver remnant based on hepatectomy simulation. This appears to provide improved patients’ outcomes as well as more efficient young surgeon training. Further developments may include quality of parenchyma evaluation and intraoperative surgical enhancement through superimposition of 3D images on the minimally invasive surgical field—augmented reality.
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Filmann N, Walter D, Schadde E, Bruns C, Keck T, Lang H, Oldhafer K, Schlitt HJ, Schön MR, Herrmann E, Bechstein WO, Schnitzbauer AA. Mortality after liver surgery in Germany. Br J Surg. 2019;106:1523–9.
Ye JJ. Artificial intelligence for pathologists is not near–it is here: description of a prototype that can transform how we practice pathology tomorrow. Arch Pathol Lab Med. 2015;139:929–35.
Chilamkurthy S, Ghosh R, Tanamala S, Biviji M, Campeau NG, Venugopal VK, Mahajan V, Rao P, Warier P. Deep learning algorithms for detection of critical findings in head CT scans: a retrospective study. Lancet. 2018;392:2388–96.
Topol EJ. High-performance medicine: the convergence of human and artificial intelligence. Nat Med. 2019;25:44–56.
Mirnezami R, Ahmed A. Surgery 3.0, artificial intelligence and the next-generation surgeon. Br J Surg. 2018;105:463–5.
Abdalla EK, Adam R, Bilchik AJ, Jaeck D, Vauthey JN, Mahvi D. Improving resectability of hepatic colorectal metastases: expert consensus statement. Ann Surg Oncol. 2006;13(10):1271–80.
Ferrero A, Vigano L, Polastri R, Muratore A, Eminefendic H, Reggie D, Capuussotti L. Postoperative liver dysfunction and future remnant liver: where is the limit? Results of a prospective study. World J Surg. 2007;3(8):1643–51.
Zhang J, Qiao QL, Guo XC, Zhao JX. Application of three-dimensional visualization technique in preoperative planning of progressive hilar cholangiocarcinoma. Am J Transl Res. 2018;10:1730–5.
Okuda Y, Taura K, Seo S, Yasuchika K, Nitta T, Ogawa K, Hatano E, Uemoto S. Usefulness of operative planning based on 3-dimensional CT cholangiography for biliary malignancies. Surgery. 2015;158:1261–71.
Fang CH, Tao HS, Yang J, Fang ZS, Cai W, Liu J, Fan YF. Impact of threedimensional reconstruction technique in the operation planning of centrally located hepatocellular carcinoma. J Am Coll Surg. 2015;220:28–37.
Hu M, Hu H, Cai W, Mo Z, Xiang N, Yang J, Fang C. The safety and feasibility of three-dimensional visualization technology assisted right posterior lobe allied with part of V and VIII sectionectomy for right hepatic malignancy. Therapy J Laparoendosc Adv Surg Tech A. 2018;28:586–94.
Fang CH, Liu J, Fan YF, Yang J, Xiang N, Zeng N. Outcomes of hepatectomy for hepatolithiasis based on 3-dimensional reconstruction technique. J Am Coll Surg. 2013;217:280–8.
Cai W, Fan Y, Hu H, Xiang N, Fang C, Jia F. Postoperative liver volume was accurately predicted by a medical image three dimensional visualization system in hepatectomy for liver cancer. Surg Oncol. 2017;26:188–94.
Watson RA. A low-cost surgical application of additive fabrication. J Surg Educ. 2014;71:14–7.
Javan R, Herrin D, Tangestanipoor A. Understanding spatially complex segmental and branch anatomy using 3D printing: liver, lung, prostate, coronary arteries, and circle of Willis. Acad Radiol. 2016;23:1183–9.
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Vicente, E., Quijano, Y., Ferri, V., Caruso, R. (2023). The Use of 3D Virtual Surgical Planning. In: Ielpo, B., Rosso, E., Anselmo, A. (eds) Glissonean Pedicles Approach in Minimally Invasive Liver Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-35295-9_23
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DOI: https://doi.org/10.1007/978-3-031-35295-9_23
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