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©The Author(s) 2023.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1693-1702
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1693
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
- URL: https://www.wjgnet.com/1948-9366/full/v15/i8/1693.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i8.1693