Three dimensional reconstruction technique improves perioperative prognosis in patients with hepatocellular carcinoma undergoing hepatectomy

Abstract

Objective To evaluate preoperative three dimensional(3D)reconstruction techniques in perioperative patients of hepatocellular carcinoma (HCC) undergoing hepatectomy. Methods Fifty-eight HCC patients who had undergone hepatectomy between 2015 and 2017 were enrolled. Twenty-three patients underwent hepatectomy based on preoperative 3D reconstruction techniques, while other thirty-five patients were without using it. Results No significant statistical difference was found in clincopathological parameters of patients preoperatively. The patients who underwent hepatectomy based on 3D reconstruction techniques had less operation time (Z=-2.213, P=0.028), hepatic inflow occlusion rate, time (χ2 =3.966, P=0.046; Z=-2.371, P=0.018)and blood loss (Z=-2.140, P=0.032) during operation. Totally 23 postoperative complications occurred which were Clavien-Dindo classification gradeⅠor Ⅱ. More complications occurred in the not using 3D technique group (χ2 =6.061, P=0.014). Conclusion Preoperative 3D reconstruction technique improves the perioperative prognosis of hepatectomy in patients with hepatocellular carcinoma. Key words: Carcinoma, hepatocellular; Hepatectomy; Imaging, three dimensional