Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population

This study aimed to establish three-dimensional models of the biliary tract of Chinese people using the Hisense computer-aided surgery (CAS) system and to explore the branching patterns and variation types of the biliary system under the study of 3D reconstruction of the biliary tract. Three-dimensi...

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Main Authors: Xiaofeng Li, Renpeng Duan, Yifeng He, Jiawei Qin, Ruijian Liu, Siqin Dai, Jiawei Zhou, Xiancheng Zeng, Juan Duan, Peng Gao, Xiaoqiao Yang, Cheng Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.934183/full
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author Xiaofeng Li
Renpeng Duan
Yifeng He
Jiawei Qin
Ruijian Liu
Siqin Dai
Jiawei Zhou
Xiancheng Zeng
Juan Duan
Peng Gao
Xiaoqiao Yang
Cheng Li
author_facet Xiaofeng Li
Renpeng Duan
Yifeng He
Jiawei Qin
Ruijian Liu
Siqin Dai
Jiawei Zhou
Xiancheng Zeng
Juan Duan
Peng Gao
Xiaoqiao Yang
Cheng Li
author_sort Xiaofeng Li
collection DOAJ
description This study aimed to establish three-dimensional models of the biliary tract of Chinese people using the Hisense computer-aided surgery (CAS) system and to explore the branching patterns and variation types of the biliary system under the study of 3D reconstruction of the biliary tract. Three-dimensional models of the biliary tract were reconstructed in 50 patients using the Hisense CAS system. The branching patterns of intrahepatic bile ducts were observed. The biliary tract was classified according to the confluence of the right posterior sectoral duct (RPSD), right anterior sectoral duct (RASD) and left hepatic duct (LHD), and the presence or absence of accessory hepatic ducts. The 3D models of the bile ducts were successfully reconstructed in 50 Chinese patients. The branching patterns of the bile ducts were classified into seven types. The anatomy of the bile ducts was typical in 54% of cases (n = 27), showed triple confluence in 10% (n = 5), and crossover anomaly in 14% (n = 7), which means anomalous drainage of the RPSD into the LHD, anomalous drainage of the RPSD into the common hepatic duct (CHD) in 10% (n = 5), anomalous drainage of the RPSD into the cystic duct (CD) in 2% (n = 1), absence of left main hepatic duct in 1% (n = 1), presence of accessory duct in 8% (n = 4). Among them, there were three cases of accessory hepatic ducts coexisting with other variation types. By using the Hisense CAS system to establish 3D models of the biliary tract of the Chinese people, we established the branching model of the second-order bile ducts, which has important value for the classification of the biliary system and its variation types.
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spelling doaj.art-51e6713c7cea4e1f99f9d0c4a245f1882022-12-22T02:07:12ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-08-01910.3389/fsurg.2022.934183934183Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese populationXiaofeng Li0Renpeng Duan1Yifeng He2Jiawei Qin3Ruijian Liu4Siqin Dai5Jiawei Zhou6Xiancheng Zeng7Juan Duan8Peng Gao9Xiaoqiao Yang10Cheng Li11Guangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaThe Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaGuangdong Provincial Emergency Hospital, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, ChinaThis study aimed to establish three-dimensional models of the biliary tract of Chinese people using the Hisense computer-aided surgery (CAS) system and to explore the branching patterns and variation types of the biliary system under the study of 3D reconstruction of the biliary tract. Three-dimensional models of the biliary tract were reconstructed in 50 patients using the Hisense CAS system. The branching patterns of intrahepatic bile ducts were observed. The biliary tract was classified according to the confluence of the right posterior sectoral duct (RPSD), right anterior sectoral duct (RASD) and left hepatic duct (LHD), and the presence or absence of accessory hepatic ducts. The 3D models of the bile ducts were successfully reconstructed in 50 Chinese patients. The branching patterns of the bile ducts were classified into seven types. The anatomy of the bile ducts was typical in 54% of cases (n = 27), showed triple confluence in 10% (n = 5), and crossover anomaly in 14% (n = 7), which means anomalous drainage of the RPSD into the LHD, anomalous drainage of the RPSD into the common hepatic duct (CHD) in 10% (n = 5), anomalous drainage of the RPSD into the cystic duct (CD) in 2% (n = 1), absence of left main hepatic duct in 1% (n = 1), presence of accessory duct in 8% (n = 4). Among them, there were three cases of accessory hepatic ducts coexisting with other variation types. By using the Hisense CAS system to establish 3D models of the biliary tract of the Chinese people, we established the branching model of the second-order bile ducts, which has important value for the classification of the biliary system and its variation types.https://www.frontiersin.org/articles/10.3389/fsurg.2022.934183/fullthree-dimensional reconstructionbiliary tract anatomybiliary tract diseaseHisense computer-assisted surgery systemChina region
spellingShingle Xiaofeng Li
Renpeng Duan
Yifeng He
Jiawei Qin
Ruijian Liu
Siqin Dai
Jiawei Zhou
Xiancheng Zeng
Juan Duan
Peng Gao
Xiaoqiao Yang
Cheng Li
Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population
Frontiers in Surgery
three-dimensional reconstruction
biliary tract anatomy
biliary tract disease
Hisense computer-assisted surgery system
China region
title Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population
title_full Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population
title_fullStr Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population
title_full_unstemmed Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population
title_short Application of three-dimensional visualization technology in the anatomical variations of hilar bile ducts in Chinese population
title_sort application of three dimensional visualization technology in the anatomical variations of hilar bile ducts in chinese population
topic three-dimensional reconstruction
biliary tract anatomy
biliary tract disease
Hisense computer-assisted surgery system
China region
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.934183/full
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