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

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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.	张瀚之, 陈哲宇, 严律南, 等. 肝包虫病外科治疗的单中心经验. 中国普外基础与临床杂志, 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.	范毓东, 董家鸿. 虚拟手术系统在肝脏手术方案设计中的应用. 外科理论与实践, 2004, 9(4):272-274.
9.	董家鸿, 黄志强. 精准肝切除-21世纪肝脏外科新理念. 中华外科杂志, 2009, 47(21):1601-1605.
10.	董家鸿, 黄志强. 倡导精准肝脏外科重现普罗米修斯神话. 中华消化外科杂志, 2010, 9(1):4-5.
11.	董家鸿. 肝细胞癌治疗理念与策略的转变. 中华消化外科杂志, 2009, 8(2):85-87.
12.	廖雯俊, 邬林泉, 傅华群, 等. 三维模拟技术在精准肝脏切除中的应用. 中华肝胆外科杂志, 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.	黄从云, 孟志华, 陈振松, 等. 虚拟肝切除技术在肝癌切除中的临床应用. 中华肝胆外科杂志, 2010, 16(4):249-252.
18.	马荣花, 郭亚民, 朱海宏, 等. 泡型肝包虫病患者肝切除术后肝储备功能的评价参数. 世界华人消化杂志, 2015, 23(2):308-312.
19.	白延霖, 马荣花, 赵克昌. 泡型肝包虫病患者肝切除术后标准化残肝体积与肝功能代偿不全的关系. 肝胆胰外科杂志, 2015, 27(4):285-287.
20.	江友.个体化肝脏三维可视化模型虚拟手术在精准肝切除中的应用研究. 广州医学院, 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. 三维重建技术在精准肝切除治疗原发性肝癌中的临床应用. 新疆医科大学, 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.	张志伟, 陈孝平, 胡道予, 等. 多排螺旋CT三维重建在肝脏外科中的应用. 中国实用外科杂志, 2004, 24(11):666-668.
26.	蔡守旺, 杨世忠, 孟翔飞, 等. 三维重建技术联合持久美蓝染色法在精准解剖性肝切除术中的应用. 中华消化外科杂志, 2012, 11(6):511-513.
27.	何翼彪, 白磊, 吴磊, 等. 数字化三维重建系统在肝泡型包虫病治疗中的应用. 中华消化外科杂志, 2012, 11(2):120-123.
28.	何翼彪, 白磊, 吐尔干艾力·阿吉, 等. 数字化三维重建技术在肝泡型包虫病肝移植中的应用. 中华肝脏外科手术学电子杂志, 2015, 4(5):279-283.
29.	林科灿. 肝脏三维重建及虚拟肝脏手术规划临床应用的研究. 福建医科大学, 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. 张瀚之, 陈哲宇, 严律南, 等. 肝包虫病外科治疗的单中心经验. 中国普外基础与临床杂志, 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. 范毓东, 董家鸿. 虚拟手术系统在肝脏手术方案设计中的应用. 外科理论与实践, 2004, 9(4):272-274.
9. 董家鸿, 黄志强. 精准肝切除-21世纪肝脏外科新理念. 中华外科杂志, 2009, 47(21):1601-1605.
10. 董家鸿, 黄志强. 倡导精准肝脏外科重现普罗米修斯神话. 中华消化外科杂志, 2010, 9(1):4-5.
11. 董家鸿. 肝细胞癌治疗理念与策略的转变. 中华消化外科杂志, 2009, 8(2):85-87.
12. 廖雯俊, 邬林泉, 傅华群, 等. 三维模拟技术在精准肝脏切除中的应用. 中华肝胆外科杂志, 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. 黄从云, 孟志华, 陈振松, 等. 虚拟肝切除技术在肝癌切除中的临床应用. 中华肝胆外科杂志, 2010, 16(4):249-252.
18. 马荣花, 郭亚民, 朱海宏, 等. 泡型肝包虫病患者肝切除术后肝储备功能的评价参数. 世界华人消化杂志, 2015, 23(2):308-312.
19. 白延霖, 马荣花, 赵克昌. 泡型肝包虫病患者肝切除术后标准化残肝体积与肝功能代偿不全的关系. 肝胆胰外科杂志, 2015, 27(4):285-287.
20. 江友.个体化肝脏三维可视化模型虚拟手术在精准肝切除中的应用研究. 广州医学院, 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. 三维重建技术在精准肝切除治疗原发性肝癌中的临床应用. 新疆医科大学, 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. 张志伟, 陈孝平, 胡道予, 等. 多排螺旋CT三维重建在肝脏外科中的应用. 中国实用外科杂志, 2004, 24(11):666-668.
26. 蔡守旺, 杨世忠, 孟翔飞, 等. 三维重建技术联合持久美蓝染色法在精准解剖性肝切除术中的应用. 中华消化外科杂志, 2012, 11(6):511-513.
27. 何翼彪, 白磊, 吴磊, 等. 数字化三维重建系统在肝泡型包虫病治疗中的应用. 中华消化外科杂志, 2012, 11(2):120-123.
28. 何翼彪, 白磊, 吐尔干艾力·阿吉, 等. 数字化三维重建技术在肝泡型包虫病肝移植中的应用. 中华肝脏外科手术学电子杂志, 2015, 4(5):279-283.
29. 林科灿. 肝脏三维重建及虚拟肝脏手术规划临床应用的研究. 福建医科大学, 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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