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  11. Enhancing Surgical Planning For Abdominal Tumors In Children Through Advanced 3d Visualization Techniques: A Systematic Review Of Future Prospects

Enhancing surgical planning for abdominal tumors in children through advanced 3D visualization techniques: a systematic review of future prospects

Pauline Lopez1, Alexis Belgacem1, Sabine Sarnacki2

  • 1Service de Chirurgie Viscérale Pédiatrique, Hôpital des Enfants, Limoges Cedex, France.

Frontiers in Pediatrics
|June 12, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Preoperative 3D reconstruction using CT and MRI enhances surgical planning for complex pediatric tumors. This technology aids in precise tumor delineation, tissue preservation, and nerve sparing, improving surgical outcomes.

Area of Science:

  • Medical Imaging
  • Surgical Planning
  • Pediatric Oncology

Background:

  • Preoperative three-dimensional (3D) reconstruction using sectional imaging is increasingly utilized in complex pediatric surgical cases.
  • While technological potential is recognized, general knowledge on its application in pediatric surgery remains limited.
  • Existing literature often focuses on case series, highlighting feasibility and potential rather than comprehensive reviews.

Purpose of the Study:

  • To explore current devices and emerging opportunities in preoperative 3D reconstruction for pediatric surgical planning.
  • To review the application of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) in creating 3D models for pediatric surgical interventions.
  • To synthesize findings from a systematic review of pediatric abdominal and pelvic tumor cases utilizing 3D reconstruction.
Keywords:
augmented realityminimally invasive surgerypediatric oncologythree-dimensional printing

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Main Methods:

  • Conducted a systematic review of pediatric cases involving abdominal and pelvic tumors.
  • Included studies published between 2000 and 2023 that utilized preoperative 3D reconstruction.
  • Focused on analyzing the role of virtual reconstruction and 3D printing in surgical planning.

Main Results:

  • Virtual reconstruction facilitates precise tumor delineation, dissection planning, and vessel ligation, optimizing tissue preservation.
  • 3D printing aids in tissue preservation, particularly for minimally invasive procedures like partial nephrectomy.
  • Advancements include neural plexus reconstruction for nerve-sparing surgery and integration of MRI for non-irradiating imaging.

Conclusions:

  • Preoperative 3D reconstruction significantly enhances surgical planning for complex pediatric tumors.
  • Techniques like virtual reconstruction and 3D printing improve precision, tissue preservation, and nerve sparing.
  • Future advancements include augmented reality for real-time intraoperative guidance, further enhancing robotic surgery precision.
virtual reality