APPLICATION AND SIGNIFICANCE OF COMPUTER-ASSISTED SURGERY SYSTEM IN PEDIATRIC SURGICAL DISEASES

Abstract

Objective To investigate the value of Hisense computer-assisted surgery (CAS) system in the surgical treatment of pediatric surgical diseases. Methods A retrospective analysis was performed for the clinical data of children who underwent surgical treatment in Department of Pediatric Surgery in our hospital from March 2016 to October 2022. Hisense CAS was used for three-dimensional reconstruction of lesions and surrounding tissue for all children before surgery, and the application and significance of Hisense CAS in the surgical treatment of pediatric surgical diseases were discussed by analyzing the 3D reconstructed images of thoracic, abdominal, and pelvic diseases, the simulated surgical resection volume of lesions, the feasibility of surgery in children, and follow-up results. Results After 3D reconstruction using Hisense CAS, the images clearly displayed the shape and branches of vessels around lesions, and the spatial anatomic relationship between the lesion and its surrounding vessels could be observed from any angle, thereby helping with the accurate localization and assessment of lesions. In this study, three-dimensional reconstruction was performed for 323 children before surgery, with 372 cases of reconstruction in total, and all 323 children underwent surgery according to the preoperative surgical plan. Among these 323 children, 287 were followed up after surgery and 36 were lost to follow-up, with a follow-up time of 9 (2, 16) months. Among the 287 children, 286 had no significant postoperative complications with good survival conditions, and 1 child with nephroblastoma had intestinal obstruction after surgery and achieved good survival conditions after the second surgery. Conclusion Hisense CAS can provide an accurate preoperative evaluation of tumors in parenchymal organs such as the liver and the kidney, assist in the design of optimal surgical plans, and help to achieve more accurate, safe, and effective surgery for infants and young children, which provides important guidance for precise implementation of surgical operation.

Keywords

• surgery, computer-assisted|imaging, three-dimensional|child|treatment outcome