To explore the utility of personalized 3D printed liver models in planning and navigating laparoscopic resections.
Project goal is to evaluate utility of personalized 3D printed models in preoperative planning and performing laparoscopic liver resections. Models will be developed with unique, low-cost approach. Project will consist of three overlapping modules/stages evaluating: 1. Accuracy of 3D printed liver models compared to computed tomography and standard surface or volume rendering 2. Whether 3D printed utilized in planning surgery affects the decision making regarding the surgical plan 3. Whether 3D printed models utilized in planning and navigating laparoscopic resections affect perioperative outcomes Methodology of developing 3D models is described elsewhere. Printed models will be delivered to surgical team at least 5 days prior to the resection. Surgery will be performed in both arms according to the department's procedures and surgical oncology guidelines.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
85
Laparoscopic liver resection for oncological purposes
Use of 3D printed liver model in decision-making: preoperative planning and intraoperative guidance.
2nd Department of General Surgery Jagiellonian Univeristy Medical College
Krakow, Lesser Poland Voivodeship, Poland
Number of changes in surgery plan
Time frame: intraoperative
Blood loss
Time frame: intraoperative
Operative time
Time frame: intraoperative
Complications
Number of both total and severe (Clavien-Dindo\>=3) complications
Time frame: intraoperative and until discharge, an average of 7 days
Length of stay
Time frame: until patient discharge, an average of 7 days
Conversion rate
Time frame: intraoperative
Readmissions
Time frame: 6 months
Mortality
Time frame: 90 days
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