Clinical efficacy and safety of 3D vascular reconstruction combined with 3D navigation in laparoscopic hepatectomy: systematic review and meta-analysis

Jiang, Jihua; Pei, Lei; Jiang, Renya

doi:10.21037/jgo-22-198

Cited by 12 publications

(10 citation statements)

References 26 publications

(17 reference statements)

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“…Moreover, it has been reported that 3D reconstruction achieves better outcomes than 2D imaging. Jihua Jiang’s meta-analysis of 16 studies showed that the 3D liver reconstruction group was significantly superior to the conventional surgery group in terms of operation time and intraoperative blood loss ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

A novel method of ultrasound-guided positive staining using indocyanine green fluorescence in laparoscopic anatomical liver resection of segments VII and VIII

et al. 2023

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BackgroundRecently, in many Asian centers, laparoscopic anatomical liver resection (LALR) using the indocyanine green (ICG) fluorescence imaging technique has been increasingly applied in resecting hepatocellular carcinoma, even in colorectal liver metastases. However, LALR techniques have not been fully standardized, especially in right superior segments. Due to the anatomical position, prevailing positive staining using a PTCD (percutaneous transhepatic cholangial drainage) needle was superior to negative staining in right superior segments hepatectomy, while it was difficult to manipulate. Herein, we design a novel method of ICG-positive staining for LALR of right superior segments.MethodsBetween April 2021 and October 2022, we retrospectively studied patients in our institute who underwent LALR of right superior segments using a novel method of ICG-positive staining, which comprised a customized puncture needle and an adaptor. Compared to the PTCD needle, the customized needle was not limited by the abdominal wall and could be punctured from the liver dorsal surface, which was more flexible to manipulate. The adapter was attached to the guide hole of the laparoscopic ultrasound (LUS) probe to ensure the precise puncture path of the needle. Guided by preoperative three-dimensional (3D) simulation and intraoperative laparoscopic ultrasound imaging, we punctured the transhepatic needle into the target portal vein through the adaptor and then slowly injected 5-10 ml of 0.025 mg/ml ICG solution into the vessel. LALR can be guided by the demarcation line under fluorescence imaging after injection. Demographic, procedural and postoperative data were collected and analyzed.ResultsIn this study, 21 patients underwent LALR of the right superior segments with ICG fluorescence-positive staining, and the procedures had a success rate of 71.4%. The average staining time was 13.0 ± 6.4 min, the operative time was 230.4 ± 71.7 min, R0 resection was 100%, the postoperative hospital stay was 7.1 ± 2.4 days, and no severe puncture complications occurred.ConclusionsThe novel customized puncture needle approach seems to be feasible and safe for ICG-positive staining in LALR of right superior segments, with a high success rate and a short staining time.

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Section: Discussionmentioning

confidence: 99%

A novel method of ultrasound-guided positive staining using indocyanine green fluorescence in laparoscopic anatomical liver resection of segments VII and VIII

et al. 2023

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“…Jiang et al carried out a systematic meta-analysis to compare the difference between 3D reconstruction and 2D CT scans before surgery for primary hepatic carcinoma. They found that preoperative 3D reconstruction has a positive impact on liver surgery reducing damage to liver blood vessels, avoiding intraoperative bleeding during the operation, and achieving the accuracy of the tumor resection [ 6 ]. Moreover, 3D reconstruction in conjunction with 2D imaging could be a useful model for improving trainees’ understanding of liver anatomy and surgical resection [ 7 ].…”

Section: Use Of 3d Reconstructionmentioning

confidence: 99%

Laparoscopic Microwave Ablation: Which Technologies Improve the Results

Santambrogio

Vertemati

Barabino

et al. 2023

Cancers

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Liver resection is the best treatment for hepatocellular carcinoma (HCC) when resectable. Unfortunately, many patients with HCC cannot undergo liver resection. Percutaneous thermoablation represents a valid alternative for inoperable neoplasms and for small HCCs, but it is not always possible to accomplish it. In cases where the percutaneous approach is not feasible (not a visible lesion or in hazardous locations), laparoscopic thermoablation may be indicated. HCC diagnosis is commonly obtained from imaging modalities, such as CT and MRI, However, the interpretation of radiological images, which have a two-dimensional appearance, during the surgical procedure and in particular during laparoscopy, can be very difficult in many cases for the surgeon who has to treat the tumor in a three-dimensional environment. In recent years, more technologies have helped surgeons to improve the results after ablative treatments. The three-dimensional reconstruction of the radiological images has allowed the surgeon to assess the exact position of the tumor both before the surgery (virtual reality) and during the surgery with immersive techniques (augmented reality). Furthermore, indocyanine green (ICG) fluorescence imaging seems to be a valid tool to enhance the precision of laparoscopic thermoablation. Finally, the association with laparoscopic ultrasound with contrast media could improve the localization and characteristics of tumor lesions. This article describes the use of hepatic three-dimensional modeling, ICG fluorescence imaging and laparoscopic ultrasound examination, convenient for improving the preoperative surgical preparation for personalized laparoscopic approach.

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“…With great interest, we carefully read a recent paper written by Jiang et al entitled "Clinical efficacy and safety of 3D vascular reconstruction combined with 3D navigation in laparoscopic hepatectomy: systematic review and metaanalysis" (1), which was published in the latest issue of Journal of Gastrointestinal Oncology.…”

mentioning

confidence: 99%

“…Similarly, Park et al studied donors with separated right anterior and right posterior portal veins, whose cases also did not meet the requirements for being included in patients with PHC (3). In addition, in the inclusion criteria specified by the authors, the intervention of the control group was required to be 2D CT, but the intervention of Lim et al's control group was robotic liver resection, and Park et al's control group was equipped with the open hepatectomy, both of which were inconsistent with the intervention requirements for the control group (1,3,4). These problems may affect the conclusion of the article.…”

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confidence: 99%

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The clinical efficacy and safety of 3D vascular reconstruction combined with 3D navigation in laparoscopic hepatectomy

Li¹,

Chen²,

Feng³

2023

J Gastrointest Oncol

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Clinical efficacy and safety of 3D vascular reconstruction combined with 3D navigation in laparoscopic hepatectomy: systematic review and meta-analysis

Cited by 12 publications

References 26 publications

A novel method of ultrasound-guided positive staining using indocyanine green fluorescence in laparoscopic anatomical liver resection of segments VII and VIII

A novel method of ultrasound-guided positive staining using indocyanine green fluorescence in laparoscopic anatomical liver resection of segments VII and VIII

Laparoscopic Microwave Ablation: Which Technologies Improve the Results

The clinical efficacy and safety of 3D vascular reconstruction combined with 3D navigation in laparoscopic hepatectomy

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