Zhang ZH, Feng QB, Jiang C, Huang JW, Li JX. Three-dimensional location approach with silk thread guided hepatectomy for liver tumor. World J Gastroenterol 2025; 31(8): 102629 [DOI: 10.3748/wjg.v31.i8.102629]
Corresponding Author of This Article
Jia-Xin Li, MD, Assistant Professor, Division of Liver Surgery, Department of General Surgery and Laboratory of Liver Surgery, and State Key Laboratory of Biotherapy and Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan University, No. 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China. lijiaxin@scu.edu.cn
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Feb 28, 2025; 31(8): 102629 Published online Feb 28, 2025. doi: 10.3748/wjg.v31.i8.102629
Three-dimensional location approach with silk thread guided hepatectomy for liver tumor
Zhi-Hong Zhang, Qing-Bo Feng, Chuang Jiang, Ji-Wei Huang, Jia-Xin Li
Zhi-Hong Zhang, Qing-Bo Feng, Chuang Jiang, Ji-Wei Huang, Jia-Xin Li, Division of Liver Surgery, Department of General Surgery and Laboratory of Liver Surgery, and State Key Laboratory of Biotherapy and Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Zhang ZH, Feng QB, Jiang C, Huang JW and Li JX contributed to this paper; Zhang ZH and Feng QB designed the overall concept and outline of the manuscript; Jiang C and Huang JW contributed to the discussion and design of the manuscript; Zhang ZH, Feng QB and Li JX contributed to the writing, and editing the manuscript, and review of literature; All authors have read and approve the final manuscript.
Supported by the Project of Guizhou Provincial Department of Science and Technology, No. Qian Ke He Cheng Guo LC[2024]109.
Institutional review board statement: The study was approved by the Review Committee of West China Hospital of Sichuan University (Approval No. 2019-833).
Informed consent statement: The need for informed consent was waived owing to the retrospective nature of the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data shown in this article are available from the corresponding authors upon a reasonable request (lijiaxin@scu.edu.cn).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jia-Xin Li, MD, Assistant Professor, Division of Liver Surgery, Department of General Surgery and Laboratory of Liver Surgery, and State Key Laboratory of Biotherapy and Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan University, No. 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China. lijiaxin@scu.edu.cn
Received: October 24, 2024 Revised: December 5, 2024 Accepted: January 10, 2025 Published online: February 28, 2025 Processing time: 91 Days and 17.9 Hours
Abstract
BACKGROUND
Intraoperative determination of resection margin and adequate residual liver parenchyma are the key points of hepatectomy for the treatment of liver tumors. Intraoperative ultrasound and indocyanine green fluorescence navigation are the most commonly used methods at present, but the technical barriers limit their promotion.
AIM
To evaluate the value of the three-dimensional location approach with silk thread (3D-LAST) in precise resection of liver tumors.
METHODS
From September 2020 to January 2022, 8 patients with liver tumors including hepatocellular carcinoma, intrahepatic cholangiocarcinoma, hilar cholangiocarcinoma, and gastric cancer liver metastasis were included in this study. All patients underwent 3D-LAST in precise resection of liver tumors.
RESULTS
All patients (8/8, 100%) underwent the operation successfully without any complications. During the mean follow-up of 8.7 months, all patients survived without tumor recurrence.
CONCLUSION
In conclusion, the 3D-LAST is a safe and effective new method for liver intraoperative navigation, which is practical and easy to promote.
Core Tip: The aim of this study is to evaluate the value of the three-dimensional location approach with silk thread (3D-LAST) in precise resection of liver tumors. Eight patients with liver tumors including hepatocellular carcinoma, intrahepatic cholangiocarcinoma, hilar cholangiocarcinoma, and gastric cancer liver metastasis underwent the operation successfully without any complications. During the mean follow-up of 8.7 months, all patients survived without tumor recurrence. In conclusion, the 3D-LAST is a safe and effective new method for liver intraoperative navigation, which is practical and easy to promote.
