Objective To explore clinical value of 3D printing technology in hepatic resection.
Methods From March to May 2015, multidetector-row computed tomography images of 12 patients, including hepatic carcinoma in 6, hepatic hemangioma in 3, intra-and extra-hepatic bile duct stones in 3, were used for 3D hepatic reconstruction, the final segmentation data were converted to stereolithography files for 3D printing, 50%-70% scale of the full-sized liver model was fabricated by polylactic acid to be used to analyze its anatomical structure, design surgical planning, select the optimal operative route and simulate hepatic resection. Hepatic resection was performed by referring to the 3D printing model.
Results The hepatic resections were successful without complications by referring to the preoperative 3D printing models, the average blood loss was 340(100-1000) mL.
Conclusion Hepatic resection is more accurate and safe by 3D printing technology.
Citation：
HUANGCong-yun, ZHUJian-hua, LIUXin, ZHANGJun-an, LIUChun-gang, ZHENGWan-ming, WUQing-song, LIUHui, ZHAOJia-feng. Application of 3D Printing Technology in Hepatic Resection. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(11): 1351-1353. doi: 10.7507/1007-9424.20150351
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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黄从云, 孙俊旗, 张俊安, 等.门静脉系统三维解剖及其与左侧结直肠癌肝转移分布的关系.中国普外基础与临床杂志, 2013, 20(10):1159-1161.
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- 1. Zein NN, Hanouneh IA, Bishop PD, et al. Three-dimensional print of a liver for preoperative planning in living donor liver transplantation. Liver Transpl, 2013, 19(12):1304-1310.
- 2. Igami T, Nakamura Y, Hirose T, et al. Application of a three-dimensional print of a liver in hepatectomy for small tumors invisible by intraoperative ultrasonography:preliminary experience. World J Surg, 2014, 38(12):3163-3166.
- 3. Takagi K, Nanashima A, Abo T, et al. Three-dimensional printing model of liver for operative simulation in perihilar cholangiocarcinoma. Hepatogastroenterology, 2014, 61(136):2315-2316.
- 4. Souzaki R, Kinoshita Y, Ieiri S, et al. Three-dimensional liver model based on preoperative CT images as a tool to assist in surgical planning for hepatoblastoma in a child. Pediatr Surg Int, 2015, 31(6):593-596.
- 5. 黄从云, 孙俊旗, 张俊安, 等.门静脉系统三维解剖及其与左侧结直肠癌肝转移分布的关系.中国普外基础与临床杂志, 2013, 20(10):1159-1161.
- 6. 黄从云, 陈振松, 孙俊旗, 等.精准肝癌切除术(附32例报道).中国普外基础与临床杂志, 2010, 17(6):532-537.
