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Precision Liver Resection: Three-Dimensional Reconstruction Combined with Fluorescence Laparoscopic Imaging
Zhong-Kai Ni1, Da Lin2, Zi-Qiang Wang2
1Department of General Surgery, 194033Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang, P.R. China.
Surgical Innovation
|September 3, 2020
Summary
Precision liver resection using 3D reconstruction and fluorescence laparoscopy is safe and effective. This technique optimizes lesion removal while minimizing liver ischemia and hypoxia, leading to good patient outcomes.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Medical Imaging
Background:
- Liver surgery is advancing towards precision techniques.
- Optimizing lesion resection and reducing ischemia/hypoxia are key challenges.
Purpose of the Study:
- To evaluate the safety and efficacy of combining 3D reconstruction with fluorescence laparoscopic imaging for liver mass resection.
Main Methods:
- Retrospective evaluation of 11 patients undergoing fluorescence laparoscopic liver mass resection.
- Preoperative three-dimensional (3D) reconstruction was utilized.
- Intraoperative data including blood loss, operation time, and hilar occlusion time were recorded.
Main Results:
- Mean blood loss was 166.8 mL; mean operation time was 152.0 minutes.
- Average hilar occlusion time was 9.3 minutes (excluding hilar cholangiocarcinoma).
- Liver function returned to baseline within 72 hours for most patients; no serious complications occurred.
Conclusions:
- 3D reconstruction combined with fluorescence laparoscopic imaging is a safe and effective approach for precision liver resection.
- This technique aids in optimizing resection and minimizing operative risks.
