Cui DP, Fan S, Guo YX, Zhao QW, Qiao YX, Fei JD. Accurate resection of hilar cholangiocarcinoma using eOrganmap 3D reconstruction and full quantization technique. World J Gastrointest Surg 2023; 15(8): 1693-1702 [PMID: 37701684 DOI: 10.4240/wjgs.v15.i8.1693]
Corresponding Author of This Article
Jian-Dong Fei, MM, Chief Physician, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Hebei North University, No. 12 Changqing Road, Qiaoxi District, Zhangjiakou 075000, Hebei Province, China. feijiandong52@163.com
Research Domain of This Article
Gastroenterology & Hepatology
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 Gastrointest Surg. Aug 27, 2023; 15(8): 1693-1702 Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1693
Table 1 Clinicopathological characteristics
Group
Sex (male/female)
Age (yr, mean ± SD)
Child–Pugh grade A/ B
Preoperative biliary drainage (yes/no)
Bismuth classification
II
IIIa
IIIb
IV
Traditional group (n = 35)
15/20
58.55 ± 5.13
29/6
27/8
3
14
12
6
eOrganmap group (n = 38)
14/24
57.86 ± 5.67
34/4
30/8
1
16
13
8
χ2/t
0.275
0.544
0.675
0.035
1.338
P value
0.600
0.588
0.411
0.852
0.720
Table 2 Colligation condition during operation
Group
Traditional group (n = 35)
eOrganmap group (n = 38)
t/χ2
P value
Surgical procedure, n (%)
1.276
0.865
Left/right half liver + caudate lobectomy
23 (65.71)
27 (71.05)
Extended hemihepatectomy + caudate lobectomy
6 (17.14)
7 (18.42)
Liver trilobites + caudate lobectomy
2 (5.71)
2 (5.26)
Mesohepatectomy + caudate lobectomy
1 (2.86)
1 (2.63)
Other
3 (8.57)
1 (2.63)
Amount of intraoperative blood loss (mean ± SD, mL)
772.52 ± 112.13
553.62 ± 98.56
8.875
< 0.001
Operating time (mean ± SD, min)
645.29 ± 121.14
523.19 ± 103.15
4.648
< 0.001
Surgical margin pathology, n (%)
4.425
0.035
R0
29 (82.86)
37 (97.37)
R1
6 (17.14)
1 (2.63)
No. of lymph nodes dissected (mean ± SD)
9.12 ± 2.34
10.75 ± 2.58
2.819
0.006
Postoperative intestinal ventilation time (mean ± SD, d)
3.15 ± 1.02
2.65 ± 0.71
2.447
0.017
Postoperative hospital stay (mean ± SD, d)
22.64 ± 5.26
21.15 ± 4.87
1.257
0.213
Table 3 Postoperative complications, n (%)
Complication
Traditional group (n = 35)
eOrganmap group (n = 38)
χ2/Z
P value
Bile leakage
2 (5.71)
2 (5.26)
2.149
0.708
Abdominal fluid accumulation
3 (8.57)
3 (7.89)
Lung infection
3 (8.57)
2 (5.26)
Postoperative liver insufficiency
1 (2.86)
0 (0.00)
Stress ulcers
0 (0.00)
1 (2.63)
Total complication rate
9 (25.71)
8 (21.05)
0.222
0.638
Table 4 Total bilirubin and albumin levels (mean SD)
Time
TBIL (μmol/L)
ALB (g/L)
Traditional group (n = 35)
eOrganmap group (n = 38)
t
P value
Traditional group (n = 35)
eOrganmap group (n = 38)
t
P value
T1
211.26 ± 15.31
209.58 ± 16.75
0.446
0.657
27.69 ± 4.13
23.16 ± 3.83
4.863
< 0.001
T2
165.28 ± 14.37
151.22 ± 12.58
4.456
< 0.001
29.39 ± 4.02
27.24 ± 4.12
2.253
0.027
T3
148.56 ± 17.28
140.37 ± 15.47
2.137
0.036
32.25 ± 3.23
30.22 ± 3.54
2.552
0.013
T4
128.62 ± 14.39
113.28 ± 15.27
4.408
< 0.001
34.66 ± 3.15
34.85 ± 4.41
0.210
0.834
Table 5 Aspartate transaminase and alanine transaminase levels (mean SD)
Time
AST (U/L)
ALT (U/L)
Traditional group (n = 35)
eOrganmap group (n = 38)
t
P value
Traditional group (n = 35)
eOrganmap group (n = 38)
t
P value
T1
112.17 ± 28.42
108.62 ± 30.23
0.516
0.608
122.15 ± 32.48
123.49 ± 31.58
0.179
0.859
T2
81.82 ± 10.67
75.38 ± 15.43
2.057
0.043
112.41 ± 24.15
101.21 ± 23.24
2.019
0.047
T3
75.25 ± 10.58
70.26 ± 6.38
2.462
0.016
108.36 ± 25.58
95.26 ± 26.31
2.154
0.035
T4
74.85 ± 9.20
56.12 ± 8.39
9.098
< 0.001
107.25 ± 28.56
82.28 ± 30.25
3.619
< 0.001
Table 6 Stress response indicators (mean SD)
Indicators
Traditional group (n = 35)
eOrganmap group (n = 38)
χ2/Z
P value
IL-6 (pg/mL)
Pre-operation
50.89 ± 4.42
51.02 ± 4.16
0.130
0.897
Post-operation
61.66 ± 5.48
62.07 ± 5.14
1.243
0.742
Cor (ng/mL)
Pre-operation
62.35 ± 5.16
61.75 ± 5.58
0.476
0.636
Post-operation
72.22 ± 4.48
71.74 ± 5.03
0.429
0.669
NE (ng/L)
Pre-operation
161.53 ± 10.38
160.85 ± 9.47
0.293
0.771
Post-operation
177.25 ± 10.12
176.95 ± 9.13
0.133
0.894
Citation: Cui DP, Fan S, Guo YX, Zhao QW, Qiao YX, Fei JD. Accurate resection of hilar cholangiocarcinoma using eOrganmap 3D reconstruction and full quantization technique. World J Gastrointest Surg 2023; 15(8): 1693-1702