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Pediatric Surgery International

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26.07.2021 | Original Article

Application value of computer-assisted surgery system in pediatric hepatic hemangioma

verfasst von: Wenli Xiu, Jie Liu, Tong Li, Xiwei Hao, Hong Liu, Nan Xia, Yuhe Duan, Zhong Jiang, Cong Shang, Qian Dong

Erschienen in: Pediatric Surgery International | Ausgabe 11/2021

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Abstract

Purpose

To explore the treatment of pediatric hepatic hemangioma and the role of the Hisense computer-assisted surgery (Hisense CAS) system in diagnosis and treatment.

Methods

We collected the clinical and follow-up data of all pediatric hepatic hemangioma cases in our pediatric surgery department from March 2008 to March 2021 for retrospective analysis. The Hisense CAS system was used to create three-dimensional (3D) reconstructions based on computed tomography data.

Results

There were 71 patients, mainly infants (prenatal to 39 months). There were more males than females (42 vs. 29), and the alpha-fetoprotein level was significantly increased in 8 cases. 3D reconstruction by the Hisense CAS system showed that hepatic artery tracking was helpful for the differential diagnosis of pediatric hepatic hemangioma. Twenty-three children treated with propranolol showed significant differences in the tumour diameter, volume, and tumour-to-liver volume ratio after treatment (all P < 0.05). Compared with early surgical treatment, the curative effect of this approach was obvious.

Conclusion

As a non-surgical treatment for symptomatic pediatric hepatic hemangioma, propranolol can replace surgical resection to a certain extent and reduce the proportion of children who need surgical intervention. Hisense CAS has advantages in evaluating the tumour volume before and after propranolol treatment. The liver volume and the liver tumour volume percentage provide new perspectives for evaluating the tumour outcome.

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Titel: Application value of computer-assisted surgery system in pediatric hepatic hemangioma
verfasst von: Wenli Xiu
Jie Liu
Tong Li
Xiwei Hao
Hong Liu
Nan Xia
Yuhe Duan
Zhong Jiang
Cong Shang
Qian Dong
Publikationsdatum: 26.07.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 11/2021
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-021-04972-5

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Application value of computer-assisted surgery system in pediatric hepatic hemangioma

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