Ignite Creation Date:
2024-05-19 @ 5:34 PM
Last Modification Date:
2024-10-26 @ 3:29 PM
Study NCT ID:
NCT06418490
Status:
RECRUITING
Last Update Posted:
2024-05-17
First Post:
2024-04-24
Brief Title:
The Application of Digital Intelligent Diagnostic and Therapeutic Technology in Biliary Dilation Diagnosis
Sponsor:
Zhujiang Hospital
Organization:
Zhujiang Hospital
Study Overview
Official Title:
Navigating the Biliary Mazea Retrospective Cohort Study of Augmented Reality Improving Outcomes in Choledochal Dilation Resection
Status:
RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
DIIBD
Brief Summary:
This research discusses the clinical application value of augmented reality navigation technology combined with three-dimensional visualization technology in improving surgical safety and promoting the development of precision surgery This technology can reduce intraoperative vascular and bile duct injuries effectively avoid serious postoperative complications and reduce residual cysts
Detailed Description:
Choledochal cysts CC have traditionally been considered as cystic dilatations of the extrahepatic bile duct Choledochal cysts are now referred to as choledochal dilatation which also includes intrahepatic and extrahepatic cysts Choledochal cysts are defined as cystic dilatations involving the bile duct tree of single or multiple segments of the intrahepatic and extrahepatic bile ducts In 1959 Alonso-Lej et al first divided CC into 3 types based on the location of bile duct dilatation It was not until 1977 that Todani et al revised the classification adding 2 more types of CCs which is the most commonly used classification by clinicians today however some experts dispute this claiming that each type of CC has its own natural history complications and treatments It is suggested to focus more on the pathogenesis rather than a simple anatomical classification of the bile duct tree Choledochal cysts are a rare anomaly and are sometimes considered as a precancerous condition which often leads to diagnostic challenges The typical presentation of this condition is nonspecific Medical teams must have a high clinical suspicion of choledochal cysts when investigating patients with jaundice abdominal pain and palpable abdominal masses Due to the ambiguity of these symptoms and physical examination findings appropriate imaging studies are crucial for diagnosis Resection of choledochal dilatation has shown excellent results with a complication-free rate of 89 and an overall 5-year survival rate exceeding 90 Therefore early diagnosis and appropriate management are essential to achieve optimal outcomes and a good prognosis
Clinical practice has confirmed that the modern digital imaging technology such as three-dimensional visualization and augmented reality navigation technology built for hepatobiliary surgery diagnosis and treatment platform plays a crucial guiding role in precise preoperative assessment lesion localization formulation of optimal surgical plans and intraoperative navigation to avoid collateral damage Professor Fang Chihuas team has conducted long-term research and breakthroughs in this field A significant portion of the literature in the field of digital intelligent diagnosis and treatment technology retrieved from SinoMed - China Biomedical Literature Service System comes from Professor Fang Chihuas team The team has published consecutive expert consensus in the Chinese Journal of Practical Surgery in the field of digital intelligence in hepatobiliary surgery including the publication of Expert Consensus on Precise Diagnosis and Treatment of Three-Dimensional Visualization of Hepatobiliary Stones 2019 Edition which affirms the significant impact of three-dimensional visualization technology in guiding the precise diagnosis and treatment of hepatobiliary stones The Consensus recommendations of three-dimensional visualization for diagnosis and management of liver disease published in an international journal demonstrates that Chinas research level in this field is at the forefront globally Sioh Huang Lim et al utilized ICG intraoperative navigation technology to visualize the extrahepatic bile ducts without radiation enabling quicker identification of bile ducts compared to cholangiography Liu Yangsui et al applied fluorescence imaging technology for real-time navigation of the extrahepatic bile ducts achieving superior outcomes in terms of surgical time intraoperative blood loss and postoperative hospital stay compared to the traditional surgery group In laparoscopic re-exploration of the bile duct Tian Guangjin et al used ICG fluorescence navigation technology as surgical assistance with a conversion to open surgery rate of approximately 33 in the navigation group compared to 229 in the conventional surgery group achieving higher rates of minimally invasive abdominal surgery in the navigation group Takeshi Aoki et al indicated in their literature the successful staining of subsegments or liver segments in 33 out of 35 cases 943 using fluorescence imaging technology for liver resection navigation Kunshan He et al demonstrated that near-infrared NIR imaging method resulted in less blood loss and shorter hospital stay compared to traditional methods ICG fluorescence imaging technology has shown promising prospects in partial liver resection surgery In conclusion three-dimensional visualization technology can achieve precise preoperative differentiation of vascular variations formulate individualized surgical plans based on reconstructed three-dimensional models and provide real-time navigation during surgery to ensure the success of the operation Intraoperative real-time augmented reality technology navigation helps prevent intraoperative bile duct injuries effectively reduce severe postoperative complications and decrease residual cysts and associated complications Therefore the combined application of both technologies in the treatment of choledochal cysts surgery provides better medical technological support enhances surgical safety and precision promotes the development of minimally invasive surgery and holds significant clinical value
Clinical practice has confirmed that the modern digital imaging technology such as three-dimensional visualization and augmented reality navigation technology built for hepatobiliary surgery diagnosis and treatment platform plays a crucial guiding role in precise preoperative assessment lesion localization formulation of optimal surgical plans and intraoperative navigation to avoid collateral damage Professor Fang Chihuas team has conducted long-term research and breakthroughs in this field A significant portion of the literature in the field of digital intelligent diagnosis and treatment technology retrieved from SinoMed - China Biomedical Literature Service System comes from Professor Fang Chihuas team The team has published consecutive expert consensus in the Chinese Journal of Practical Surgery in the field of digital intelligence in hepatobiliary surgery including the publication of Expert Consensus on Precise Diagnosis and Treatment of Three-Dimensional Visualization of Hepatobiliary Stones 2019 Edition which affirms the significant impact of three-dimensional visualization technology in guiding the precise diagnosis and treatment of hepatobiliary stones The Consensus recommendations of three-dimensional visualization for diagnosis and management of liver disease published in an international journal demonstrates that Chinas research level in this field is at the forefront globally Sioh Huang Lim et al utilized ICG intraoperative navigation technology to visualize the extrahepatic bile ducts without radiation enabling quicker identification of bile ducts compared to cholangiography Liu Yangsui et al applied fluorescence imaging technology for real-time navigation of the extrahepatic bile ducts achieving superior outcomes in terms of surgical time intraoperative blood loss and postoperative hospital stay compared to the traditional surgery group In laparoscopic re-exploration of the bile duct Tian Guangjin et al used ICG fluorescence navigation technology as surgical assistance with a conversion to open surgery rate of approximately 33 in the navigation group compared to 229 in the conventional surgery group achieving higher rates of minimally invasive abdominal surgery in the navigation group Takeshi Aoki et al indicated in their literature the successful staining of subsegments or liver segments in 33 out of 35 cases 943 using fluorescence imaging technology for liver resection navigation Kunshan He et al demonstrated that near-infrared NIR imaging method resulted in less blood loss and shorter hospital stay compared to traditional methods ICG fluorescence imaging technology has shown promising prospects in partial liver resection surgery In conclusion three-dimensional visualization technology can achieve precise preoperative differentiation of vascular variations formulate individualized surgical plans based on reconstructed three-dimensional models and provide real-time navigation during surgery to ensure the success of the operation Intraoperative real-time augmented reality technology navigation helps prevent intraoperative bile duct injuries effectively reduce severe postoperative complications and decrease residual cysts and associated complications Therefore the combined application of both technologies in the treatment of choledochal cysts surgery provides better medical technological support enhances surgical safety and precision promotes the development of minimally invasive surgery and holds significant clinical value
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None