Perceptions of porta-celiac vascular models for hepatic surgery and their use in residency training

dc.contributor.authorOzer, Mehmet Asim
dc.contributor.authorUguz, Alper
dc.contributor.authorUnalp, Omer Vedat
dc.contributor.authorCoker, Ahmet
dc.contributor.authorGovsa, Figen
dc.contributor.authorGuler, Ezgi
dc.contributor.authorPinar, Yelda
dc.date.accessioned2021-05-03T20:27:33Z
dc.date.available2021-05-03T20:27:33Z
dc.date.issued2021
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground Primary aspect of hepatic navigation surgery is the identification of source vascular details to preserve healthy liver which has a vascular anatomy quite challenging for the young surgeons. The purpose was to determine whether three-dimensional (3D) vascular pattern models of preoperative computed tomography (CT) images will assist resident-level trainees for hepatic surgery. Methods This study was based on the perception of residents who were presented with 5 different hepatic source vascular patterns and required to compare their perception level of CT, and 1:1 models in terms of importance of variability, differential of patterns and preoperative planning. Results All residents agree that models provided better understanding of vascular source and improved preplanning. Five stations provided qualitative assessment with results showing the usefulness of porta-celiac models when used as anatomical tools in preplanning (p = 0.04), simulation of interventional procedures (p = 0.02), surgical education (p = 0.01). None of the cases had scored less than 8.5. Responses related to understanding variations were significantly higher in the perception of the 3D model in all cases, furthermore 3D models were more useful for seniors in more complex cases 3 and 5. Some open-ended answers: "The 3D model can completely change the operation plan" One of the major factors for anatomical resection of liver transplantation is the positional relationship between the hepatic arteries and the portal veins. Conclusion The plastic-like material presenting the hepatic vascularity enables the visualization of the origin, pattern, shape, and angle of the branches with appropriate spatial perception thus making it well-structured.en_US
dc.identifier.doi10.1007/s00276-021-02724-7en_US
dc.identifier.issn0930-1038
dc.identifier.issn1279-8517
dc.identifier.pmid33677685en_US
dc.identifier.scopus2-s2.0-85102420900en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1007/s00276-021-02724-7
dc.identifier.urihttps://hdl.handle.net/11454/69563
dc.identifier.wosWOS:000625906900002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Franceen_US
dc.relation.ispartofSurgical and Radiologic Anatomyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHepatic vascularityen_US
dc.subjectLiving donor liver transplantationen_US
dc.subjectModel-guided surgeryen_US
dc.subject3D modelsen_US
dc.subjectPatient-specific modelingen_US
dc.subjectGraduate surgical educationen_US
dc.titlePerceptions of porta-celiac vascular models for hepatic surgery and their use in residency trainingen_US
dc.typeArticleen_US

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