International Multidisciplinary Consensus Recommendations on Clinical Application of Three-dimensional Visualization in Precision Surgery for Pediatric Liver Tumors

Qian Dong; Wenli Xiu; Benjie Tang; Eiso Hiyama; Mary T. Austin; Yeming Wu; Xiaojun Yuan; Chengzhan Zhu; Chengli Liu; Hiroki Ishibashi; Karthik K. Tappa; Huanmin Wang; Chuandong Sun; YunTao Ma; Hongwei Xi; Jian Wang; Jianghua Zhan; Kyong Ihn; Mitsuo Shimada; Mingman Zhang; Mary E. Brindle; Patrick B. Thomas; Shigehisa Fumino; Tao Liu; Thom Lobe; Udo Rolle; Shan Wang; Xiaowen Zhai; Yoshinori Koga; Yoshiaki Kinoshita; Yuzuo Bai; Zhaozhu Li; Zhe Wen; Weikang Pan; Krysta Mary Sutyak; Pier Cristoforo Giulianotti

doi:10.1016/j.hpb.2025.03.007

International Multidisciplinary Consensus Recommendations on Clinical Application of Three-dimensional Visualization in Precision Surgery for Pediatric Liver Tumors

Qian Dong (Lead / Corresponding author), Wenli Xiu, Benjie Tang, Eiso Hiyama, Mary T. Austin, Yeming Wu, Xiaojun Yuan, Chengzhan Zhu, Chengli Liu, Hiroki Ishibashi, Karthik K. Tappa, Huanmin Wang, Chuandong Sun, YunTao Ma, Hongwei Xi, Jian Wang, Jianghua Zhan, Kyong Ihn, Mitsuo Shimada, Mingman ZhangMary E. Brindle, Patrick B. Thomas, Shigehisa Fumino, Tao Liu, Thom Lobe, Udo Rolle, Shan Wang, Xiaowen Zhai, Yoshinori Koga, Yoshiaki Kinoshita, Yuzuo Bai, Zhaozhu Li, Zhe Wen, Weikang Pan, Krysta Mary Sutyak, Pier Cristoforo Giulianotti

Respiratory Medicine and Gastroenterology

Research output: Contribution to journal › Article › peer-review

Abstract

Background
Pediatric liver tumors are predominantly primary malignant tumors, and complete tumor resection with sufficient preservation of liver tissue is crucial for improving prognosis. However, due to the delicate anatomical structure of the pediatric liver and the relatively large size of the tumors, especially in difficult cases, the surgical challenges are substantial. While precision liver surgery are widely applied in clinical practice, pediatric cases require more customized approaches. The application of three-dimensional (3D) visualization technology is crucial for enhancing surgical accuracy, allowing for precise preoperative planning and intraoperative guidance.

Methods
This consensus was collaboratively developed by 36 experts from eight countries, using the Glaser’s state-of-the-art method to review and refine the draft.

Results
The final consensus resulted in 15 international multidisciplinary consensus recommendations on clinical application of 3D visualization in precision surgery for pediatric liver tumors.

Conclusion
This consensus will standardize the application of 3D visualization technology in precision surgery for pediatric liver tumors to improve outcomes and reduce risks.

Original language	English
Journal	HPB
Early online date	11 Mar 2025
DOIs	https://doi.org/10.1016/j.hpb.2025.03.007
Publication status	E-pub ahead of print - 11 Mar 2025

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Dong, Q., Xiu, W., Tang, B., Hiyama, E., Austin, M. T., Wu, Y., Yuan, X., Zhu, C., Liu, C., Ishibashi, H., Tappa, K. K., Wang, H., Sun, C., Ma, Y., Xi, H., Wang, J., Zhan, J., Ihn, K., Shimada, M., ... Giulianotti, P. C. (2025). International Multidisciplinary Consensus Recommendations on Clinical Application of Three-dimensional Visualization in Precision Surgery for Pediatric Liver Tumors. HPB. Advance online publication. https://doi.org/10.1016/j.hpb.2025.03.007

@article{a11bbd5115364c7cad2b6b0dfff69340,

title = "International Multidisciplinary Consensus Recommendations on Clinical Application of Three-dimensional Visualization in Precision Surgery for Pediatric Liver Tumors",

abstract = "BackgroundPediatric liver tumors are predominantly primary malignant tumors, and complete tumor resection with sufficient preservation of liver tissue is crucial for improving prognosis. However, due to the delicate anatomical structure of the pediatric liver and the relatively large size of the tumors, especially in difficult cases, the surgical challenges are substantial. While precision liver surgery are widely applied in clinical practice, pediatric cases require more customized approaches. The application of three-dimensional (3D) visualization technology is crucial for enhancing surgical accuracy, allowing for precise preoperative planning and intraoperative guidance.MethodsThis consensus was collaboratively developed by 36 experts from eight countries, using the Glaser{\textquoteright}s state-of-the-art method to review and refine the draft.ResultsThe final consensus resulted in 15 international multidisciplinary consensus recommendations on clinical application of 3D visualization in precision surgery for pediatric liver tumors.ConclusionThis consensus will standardize the application of 3D visualization technology in precision surgery for pediatric liver tumors to improve outcomes and reduce risks.",

author = "Qian Dong and Wenli Xiu and Benjie Tang and Eiso Hiyama and Austin, {Mary T.} and Yeming Wu and Xiaojun Yuan and Chengzhan Zhu and Chengli Liu and Hiroki Ishibashi and Tappa, {Karthik K.} and Huanmin Wang and Chuandong Sun and YunTao Ma and Hongwei Xi and Jian Wang and Jianghua Zhan and Kyong Ihn and Mitsuo Shimada and Mingman Zhang and Brindle, {Mary E.} and Thomas, {Patrick B.} and Shigehisa Fumino and Tao Liu and Thom Lobe and Udo Rolle and Shan Wang and Xiaowen Zhai and Yoshinori Koga and Yoshiaki Kinoshita and Yuzuo Bai and Zhaozhu Li and Zhe Wen and Weikang Pan and Sutyak, {Krysta Mary} and Giulianotti, {Pier Cristoforo}",

year = "2025",

month = mar,

day = "11",

doi = "10.1016/j.hpb.2025.03.007",

language = "English",

journal = "HPB",

issn = "1365-182X",

publisher = "Elsevier",

}

Dong, Q, Xiu, W, Tang, B, Hiyama, E, Austin, MT, Wu, Y, Yuan, X, Zhu, C, Liu, C, Ishibashi, H, Tappa, KK, Wang, H, Sun, C, Ma, Y, Xi, H, Wang, J, Zhan, J, Ihn, K, Shimada, M, Zhang, M, Brindle, ME, Thomas, PB, Fumino, S, Liu, T, Lobe, T, Rolle, U, Wang, S, Zhai, X, Koga, Y, Kinoshita, Y, Bai, Y, Li, Z, Wen, Z, Pan, W, Sutyak, KM & Giulianotti, PC 2025, 'International Multidisciplinary Consensus Recommendations on Clinical Application of Three-dimensional Visualization in Precision Surgery for Pediatric Liver Tumors', HPB. https://doi.org/10.1016/j.hpb.2025.03.007

TY - JOUR

T1 - International Multidisciplinary Consensus Recommendations on Clinical Application of Three-dimensional Visualization in Precision Surgery for Pediatric Liver Tumors

AU - Dong, Qian

AU - Xiu, Wenli

AU - Tang, Benjie

AU - Hiyama, Eiso

AU - Austin, Mary T.

AU - Wu, Yeming

AU - Yuan, Xiaojun

AU - Zhu, Chengzhan

AU - Liu, Chengli

AU - Ishibashi, Hiroki

AU - Tappa, Karthik K.

AU - Wang, Huanmin

AU - Sun, Chuandong

AU - Ma, YunTao

AU - Xi, Hongwei

AU - Wang, Jian

AU - Zhan, Jianghua

AU - Ihn, Kyong

AU - Shimada, Mitsuo

AU - Zhang, Mingman

AU - Brindle, Mary E.

AU - Thomas, Patrick B.

AU - Fumino, Shigehisa

AU - Liu, Tao

AU - Lobe, Thom

AU - Rolle, Udo

AU - Wang, Shan

AU - Zhai, Xiaowen

AU - Koga, Yoshinori

AU - Kinoshita, Yoshiaki

AU - Bai, Yuzuo

AU - Li, Zhaozhu

AU - Wen, Zhe

AU - Pan, Weikang

AU - Sutyak, Krysta Mary

AU - Giulianotti, Pier Cristoforo

PY - 2025/3/11

Y1 - 2025/3/11

N2 - BackgroundPediatric liver tumors are predominantly primary malignant tumors, and complete tumor resection with sufficient preservation of liver tissue is crucial for improving prognosis. However, due to the delicate anatomical structure of the pediatric liver and the relatively large size of the tumors, especially in difficult cases, the surgical challenges are substantial. While precision liver surgery are widely applied in clinical practice, pediatric cases require more customized approaches. The application of three-dimensional (3D) visualization technology is crucial for enhancing surgical accuracy, allowing for precise preoperative planning and intraoperative guidance.MethodsThis consensus was collaboratively developed by 36 experts from eight countries, using the Glaser’s state-of-the-art method to review and refine the draft.ResultsThe final consensus resulted in 15 international multidisciplinary consensus recommendations on clinical application of 3D visualization in precision surgery for pediatric liver tumors.ConclusionThis consensus will standardize the application of 3D visualization technology in precision surgery for pediatric liver tumors to improve outcomes and reduce risks.

AB - BackgroundPediatric liver tumors are predominantly primary malignant tumors, and complete tumor resection with sufficient preservation of liver tissue is crucial for improving prognosis. However, due to the delicate anatomical structure of the pediatric liver and the relatively large size of the tumors, especially in difficult cases, the surgical challenges are substantial. While precision liver surgery are widely applied in clinical practice, pediatric cases require more customized approaches. The application of three-dimensional (3D) visualization technology is crucial for enhancing surgical accuracy, allowing for precise preoperative planning and intraoperative guidance.MethodsThis consensus was collaboratively developed by 36 experts from eight countries, using the Glaser’s state-of-the-art method to review and refine the draft.ResultsThe final consensus resulted in 15 international multidisciplinary consensus recommendations on clinical application of 3D visualization in precision surgery for pediatric liver tumors.ConclusionThis consensus will standardize the application of 3D visualization technology in precision surgery for pediatric liver tumors to improve outcomes and reduce risks.

U2 - 10.1016/j.hpb.2025.03.007

DO - 10.1016/j.hpb.2025.03.007

M3 - Article

SN - 1365-182X

JO - HPB

JF - HPB

ER -

International Multidisciplinary Consensus Recommendations on Clinical Application of Three-dimensional Visualization in Precision Surgery for Pediatric Liver Tumors

Abstract

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