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Open Access 01-03-2020 | Ultrasound | Imaging Informatics and Artificial Intelligence

Decision-making based on 3D printed models in laparoscopic liver resections with intraoperative ultrasound: a prospective observational study

Authors: Jan Witowski, Andrzej Budzyński, Anna Grochowska, David H. Ballard, Piotr Major, Mateusz Rubinkiewicz, Adriana Złahoda-Huzior, Tadeusz J. Popiela, Mateusz Wierdak, Michał Pędziwiatr

Published in: European Radiology | Issue 3/2020

Abstract

Objectives

The aim of this study was to evaluate impact of 3D printed models on decision-making in context of laparoscopic liver resections (LLR) performed with intraoperative ultrasound (IOUS) guidance.

Methods

Nineteen patients with liver malignances (74% were colorectal cancer metastases) were prospectively qualified for LLR or radiofrequency ablation in a single center from April 2017 to December 2018. Models were 3DP in all cases based on CT and facilitated optical visualization of tumors’ relationships with portal and hepatic veins. Planned surgical extent and its changes were tracked after CT analysis and 3D model inspection, as well as intraoperatively using IOUS.

Results

Nineteen patients were included in the analysis. Information from either 3DP or IOUS led to changes in the planned surgical approach in 13/19 (68%) patients. In 5/19 (26%) patients, the 3DP model altered the plan of the surgery preoperatively. In 4/19 (21%) patients, 3DP independently changed the approach. In one patient, IOUS modified the plan post-3DP. In 8/19 (42%) patients, 3DP model did not change the approach, whereas IOUS did. In total, IOUS altered surgical plans in 9 (47%) cases. Most of those changes (6/9; 67%) were caused by detection of additional lesions not visible on CT and 3DP.

Conclusions

3DP can be helpful in planning complex and major LLRs and led to changes in surgical approach in 26.3% (5/19 patients) in our series. 3DP may serve as a useful adjunct to IOUS.

Key Points

• 3D printing can help in decision-making before major and complex resections in patients with liver cancer.

• In 5/19 patients, 3D printed model altered surgical plan preoperatively.

• Most surgical plan changes based on intraoperative ultrasonography were caused by detection of additional lesions not visible on CT and 3D model.

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Title: Decision-making based on 3D printed models in laparoscopic liver resections with intraoperative ultrasound: a prospective observational study
Authors: Jan Witowski
Andrzej Budzyński
Anna Grochowska
David H. Ballard
Piotr Major
Mateusz Rubinkiewicz
Adriana Złahoda-Huzior
Tadeusz J. Popiela
Mateusz Wierdak
Michał Pędziwiatr
Publication date: 01-03-2020
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Liver Resection
Liver Resection
Ultrasound
Published in: European Radiology / Issue 3/2020
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-019-06511-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Decision-making based on 3D printed models in laparoscopic liver resections with intraoperative ultrasound: a prospective observational study

Abstract

Objectives

Methods

Results

Conclusions

Key Points

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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