Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1066-1077
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1066
Computer-assisted three-dimensional individualized extreme liver resection for hepatoblastoma in proximity to the major liver vasculature
Wen-Li Xiu, Jie Liu, Jing-Li Zhang, Jing-Miao Wang, Xue-Feng Wang, Fei-Fei Wang, Jie Mi, Xi-Wei Hao, Nan Xia, Qian Dong
Wen-Li Xiu, Jing-Li Zhang, Jing-Miao Wang, Xue-Feng Wang, Jie Mi, Xi-Wei Hao, Qian Dong, Department of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China
Jie Liu, Department of Pediatric Surgery, Yijishan Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China
Fei-Fei Wang, Nan Xia, Qian Dong, Shandong Provincial Key Laboratory of Digital Medicine and Computer-assisted Surgery, Shandong College Collaborative Innovation Center of Digital Medicine Clinical Treatment and Nutrition Health, Qingdao University, Qingdao 266003, Shandong Province, China
Co-first authors: Wen-Li Xiu and Jie Liu.
Co-corresponding authors: Nan Xia and Qian Dong.
Author contributions: Xiu WL, Liu J, and Zhang JL contributed to data curation and writing of the original draft; Wang JM, Wang XF, and Wang FF contributed to data curation; Mi J, Hao XW, Xia N, and Dong Q contributed to manuscript review and editing; all authors have read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 82293665; and Anhui Provincial Department of Education University Research Project, No. 2023AH051763.
Institutional review board statement: This study was approved by the Ethics Committee of the Affiliated Hospital of Qingdao University (approval No. QYFY-WZLL-25776).
Informed consent statement: This is a retrospective study article, and all guardians of the patients signed the informed consent forms before treatment and surgery. The patient's identity information was not disclosed and will not cause any harm to the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Data sharing statement: No additional data are available.
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: Qian Dong, MD, Professor, Surgeon, Teacher, Department of Pediatric Surgery, The Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Shinan District, Qingdao 266000, Shandong Province, China. 18661801885@163.com
Received: November 21, 2023
Peer-review started: November 21, 2023
First decision: January 19, 2024
Revised: January 29, 2024
Accepted: March 15, 2024
Article in press: March 15, 2024
Published online: April 27, 2024
Core Tip

Core Tip: Children with difficult hepatoblastoma (HB), characterized by a large size and complex location, pose a clinical challenge, particularly when the tumor remains in close proximity to the major liver vasculature (PMV) even after a full course of neoadjuvant chemotherapy (NAC). We retrospectively collected data from 67 children with HB who underwent surgical resection at our center from June 2013 to June 2023. Sixteen patients still had close PMV after a full course NAC and underwent extreme liver resection. In this process, the use of individualized three-dimensional surgical planning is beneficial for achieving safe and complete resection.