Clinical application value of preoperative planning based on 3D Slicer software in surgery for desmoid tumors of the abdominal wall：a single-center prospective analysis

doi:10.3877/cma.j.issn.1674-392X.2025.03.008

Abstract

Abstract:

Objective

To investigate the clinical application value of 3D Slicer technology in preoperative planning and intraoperative guidance for desmoid tumors of the abdominal wall， and evaluate its effects in improving the total resection rate， shortening the surgical time， reducing the postoperative hospital stay， improving the quality of life of patients， and optimizing the treatment costs.

Methods

This study is a prospective non-randomized controlled trial. Due to the intervention characteristics of the surgical plan design， a single-blind non-randomized trial was adopted. A total of 37 patients with desmoid tumors of the abdominal wall who underwent surgery in the Department of General Surgery， First Affiliated Hospital of Anhui Medical University， from January 2012 to January 2025 were included. Patients were divided into two groups based on whether 3D Slicer technology was used for preoperative planning. The experimental group （n=20） used 3D Slicer for preoperative planning， while the control group （n=17） used traditional two-dimensional imaging planning methods. Surgical outcomes （total resection rate， postoperative hospital stay， surgical time）， postoperative quality of life （SF-36 score）， and hospitalization costs were compared between the two groups.

Results

The experimental group showed significantly better outcomes in total resection rate （100% vs 70.6%， P=0.014）， postoperative hospital stay ［1.0 （1.0， 2.0） days vs 2.0 （2.0， 6.5）days， P＜0.001］， surgical time ［42.5 （31.3， 50.0） minutes vs 100.0 （85.0， 139.5） minutes， P＜0.001］， and SF-36 score ［92.0 （90.0， 94.0） vs 88.0 （80.0， 93.5）， P=0.020］compared to the control group. There was no statistically significant difference in hospitalization costs between the two groups （P=0.330）.

Conclusion

3D Slicer software has significant advantages in preoperative planning for desmoid tumors of the abdominal wall. It can improve surgical precision and efficiency， enhance postoperative quality of life， and provide a reliable basis for clinical application.

Key words: Desmoid tumors of the abdominal wall, 3D Slicer, Preoperative planning, Clinical application value

Yifan Li, Yuan Hong, Maoming Xiong. Clinical application value of preoperative planning based on 3D Slicer software in surgery for desmoid tumors of the abdominal wall：a single-center prospective analysis[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(03): 286-291.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2025.03.008

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2025/V19/I03/286

Figures/Tables 3

References 23

［1］	Rosa F， Martinetti C， Piscopo F， et al. Multimodality imaging features of desmoid tumors：a head-to-toe spectrum［J］. Insights Imaging， 2020， 11（1）：103.
［2］	Lee S， Kim S， Hwang S. Clinical applications of 3D imaging in abdominal surgery［J］. Surg Endosc， 2021， 35（2）：550-558.
［3］	Liu Y， Sun Z， Zhao X， et al. Benign and malignant abdominal wall tumors：clinicopathological features and surgical treatment［J］. J Gastrointest Surg， 2020， 24（9）：2175-2183.
［4］	严霞瑜，张美琴，罗红. 韧带样纤维瘤临床及超声图像分析［J］.中国超声医学杂志， 2024， 40（10）：1195-1197.
［5］	Shi P， Deng K， Li B， et al. Impact of preoperative imaging evaluation on abdominal wall tumor surgery［J］. J Clin Oncol， 2020， 26（8）：1056-1061.
［6］	Wang Z， Zhou W， Hu Y， et al. Ultrasound and CT in the diagnosis of abdominal wall tumors：a comparative study［J］. J Ultrasound Med，2019， 38（3）：725-732.
［7］	Shih T， Lin Y， Wang S， et al. Application of CT and MRI in preoperative assessment of abdominal wall tumors［J］. Surg Radiol Anat， 2021， 43（9）：1183-1190.
［8］	Zhang X， Wang L， Zhang Y， et al. Role of CT and MRI in the evaluation of abdominal wall tumors［J］. Cancer Imaging， 2021，21（1）：25-31.
［9］	Lee J， Park Y， Kim J， et al. The diagnostic value of CT and MRI in assessing the relationship of abdominal wall tumors with adjacent organs［J］. J Clin Imaging Sci， 2020， 10：45.
［10］	刘柏岐，黄耿文. 腹壁硬纤维瘤诊疗进展［J］. 中国实用外科杂志，2024， 44（3）：349-355.
［11］	Shih T， Liu Y， Tan W， et al. Comparative analysis of preoperative imaging modalities in abdominal wall tumor surgeries［J］. J Gastrointest Surg， 2021， 25（1）：112-120.
［12］	Li Y， Guo Q， Zhang J， et al. The advantages of 3D image-guided surgery in abdominal tumor resections［J］. J Surg Sci， 2021， 11（3）：231-239.
［13］	Rijkers K， de Bruin R， Boelhouwer R， et al. Multimodal imaging in abdominal wall tumor surgery：a 3D Slicer approach［J］. J Surg Oncol， 2021， 124（4）：550-556.
［14］	Grossman H， Dujon M， Benya R. The role of 3D imaging in abdominal surgery：techniques， applications， and benefits［J］. J Laparoendosc Adv Surg Tech， 2022， 32（11）：1123-1131.
［15］	World Medical Association. Declaration of Helsinki：ethical principles for medical research involving human subjects［J］. JAMA，2013， 310（20）：2191-2194.
［16］	Ware JE， Sherbourne CD. The MOS 36-item short-form health survey（SF-36）：I. Conceptual framework and item selection［J］. Med Care， 1992， 30（6）：473-483.
［17］	McHorney CA， Ware JE， Lu JF， et al. The MOS 36-item short-form health survey（SF-36）：III. Tests of data quality， scaling assumptions，and reliability across diverse patient groups［J］. Med Care， 1994，32（1）：40-66.
［18］	黄耿文，宋致成，吴立胜，等. 腹壁硬纤维瘤外科诊治中国专家共识（2023版）［J］. 中国实用外科杂志， 2024， 44（1）：17-23.
［19］	罗文钦，杨世炜，谢妍妍，等. 手术切除联合一期腹膜前间隙补片修补治疗腹壁韧带样纤维瘤的疗效［J/OL］. 中华疝和腹壁外科杂志（电子版）， 2019， 13（6）：515-518.
［20］	严骏燕，刘金有. CT对腹壁韧带样瘤的诊断价值［J/OL］. 中华疝和腹壁外科杂志（电子版）， 2014， 8（2）：116-118.
［21］	胡礼，方雷，严志龙. 腹壁巨大肿瘤切除一期腹壁重建一例报告［J/OL］. 中华疝和腹壁外科杂志（电子版）， 2016， 10（4）：314-316.
［22］	陆晓骞，宗凌燕，沈琪. 正电子发射断层扫描/计算机断层扫描（PET/CT）成像在肿瘤筛查中的应用进展［J］. 中国辐射卫生， 2023，32（1）：66-69， 74.
［23］	Liu J， Li X， Leng X， et al. Effect of 3D slicer preoperative planning and intraoperative guidance with mobile phone virtual reality technology on brain glioma surgery［J］. Contrast Media Mol Imaging，2022， 2022（1）：9627663.

组别	例数	性别[例(%)]		年龄(岁，x̄ ± s)
组别	例数	男性	女性	年龄(岁，x̄ ± s)
试验组	20	5(25.0)	15(75.0)	47.2±16.1
对照组	17	2(11.8)	15(88.2)	45.9±16.9
Z值/t值		-		0.22^a
P值		0.421		0.833
组别	例数	身高[cm,M(Q₁,Q₃) ]	体重[kg,M(Q₁,Q₃)]	有既往病史[例(%)]
试验组	20	161.0(155.5,169.0)	55.5(50.0,64.8)	5(25.0)
对照组	17	163.0(159.5,166.5)	60.0(53.3,66.0)	6(35.3)
Z值/t值		0.37^b	0.80^b	一
P值		0.710	0.430	0.720

组别	例数	性别[例(%)]		年龄(岁，x̄ ± s)
组别	例数	男性	女性	年龄(岁，x̄ ± s)
试验组	20	5(25.0)	15(75.0)	47.2±16.1
对照组	17	2(11.8)	15(88.2)	45.9±16.9
Z值/t值		-		0.22^a
P值		0.421		0.833
组别	例数	身高[cm,M(Q₁,Q₃) ]	体重[kg,M(Q₁,Q₃)]	有既往病史[例(%)]
试验组	20	161.0(155.5,169.0)	55.5(50.0,64.8)	5(25.0)
对照组	17	163.0(159.5,166.5)	60.0(53.3,66.0)	6(35.3)
Z值/t值		0.37^b	0.80^b	一
P值		0.710	0.430	0.720

组别	例数	手术时间[min,M(Q₁,Q₃)]	术后住院时间[d,M(Q₁,Q₃)]
试验组	20	42.5(31.3,50.0)	1.0(1.0,2.0)
对照组	17	100.0(85.0,139.5)	2.0(2.0,6.5)
Z值		4.84	3.41
P值		<0.001	<0.001

组别	例数	手术时间[min,M(Q₁,Q₃)]	术后住院时间[d,M(Q₁,Q₃)]
试验组	20	42.5(31.3,50.0)	1.0(1.0,2.0)
对照组	17	100.0(85.0,139.5)	2.0(2.0,6.5)
Z值		4.84	3.41
P值		<0.001	<0.001

[1]	Jiewen Qiu, Chun Li, Bo Wen, Jianzhong Qiu, Jun Li, Qing Wang, Jifu He, Maocheng Cao, Yongsheng Zhou. The application of the renal calculus 3D model based on CT in percutameous nephrolithotomg [J]. Chinese Journal of Endourology(Electronic Edition), 2017, 11(05): 309-314.
[2]	Jie Huang. Concerns on laparoscopic liver surgery [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(03): 267-271.
[3]	Yingfang Fan, Nan Xiang, Wei Cai, Chihua Fang. Three-dimensional visualization technology in preoperative planning of precise hepatectomy [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2014, 03(05): 271-275.
[4]	Kuizhong Wang, Tianzhu Wang, Ye Yuan, Jinna Hu, Jiageng Du, Shaoji Yuan. Application of three-dimensional reconstruction preoperative planning in ventriculoperitoneal shunting via posterior horn of lateral ventricle [J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2022, 08(06): 361-364.
[5]	Gang Wu, Guangtao Liu, Yu Weng, Duo Zha, Hongguo Wang, Qing Zhou, Ce Liu, Ru′en Liu. Predicting intracerebral hematoma expansion based on difference of hematoma volumes measured using ABC/2 and 3D Slicer [J]. Chinese Journal of Clinicians(Electronic Edition), 2020, 14(03): 192-196.
[6]	Jing Yan, Qi Han, Yuan Jiang. Clinical application value of continuous nursing based on WeChat platform in self-management of obese patients with gastroesophageal reflux disease after operation [J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2023, 10(04): 216-221.

Please choose a citation manager

Content to export