CASE REPORT article
Front. Surg.
Sec. Surgical Oncology
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1609274
This article is part of the Research TopicArtificial Intelligence in Clinical Oncology: Enhancements in Tumor ManagementView all 6 articles
Three-Dimensional Visualization Reconstruction Assisted in the Treatment of Retroperitoneal Liposarcoma:a case report
Provisionally accepted- Affiliated Hospital of Hebei University, Baoding, China
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Objective: To evaluate the clinical efficacy of three-dimensional visualization reconstruction (3DVR) in surgical planning for complex retroperitoneal liposarcoma (RLS), we report a case of a 64-year-old female patient presenting with a mass posterior to the spleen. CT/MRI revealed a retro-splenic mass, later pathologically confirmed as dedifferentiated liposarcoma. 3D reconstruction precisely delineated a 12 × 6.0 cm tumor with three splenic feeding vessels, enabling preoperative simulation of an en bloc resection combined with splenectomy. Gross total resection (R0 resection) was achieved, and pathology confirmed no splenic invasion. No recurrence was observed during 6-month follow-up. Conclusion: Compared to 2D imaging, 3D reconstruction improved stereoscopic assessment of tumor-vessel-organ relationships, reducing intraoperative uncertainty. Challenges in retroperitoneal soft-tissue contrast were mitigated using advanced segmentation. The technique enhances surgical precision, lowers operative risks, and may improve recurrence-free survival. Integration with virtual reality could further optimize preoperative planning, advocating its adoption in complex abdominal oncology.
Keywords: Three-dimensional visualization reconstruction, Retroperitoneal liposarcoma, Surgical precision, Preoperative planning, case report
Received: 10 Apr 2025; Accepted: 02 Jul 2025.
Copyright: © 2025 REN, Xie, LIU, JIN and ZHANG. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Xiangxiang REN, Affiliated Hospital of Hebei University, Baoding, China
Meng ZHANG, Affiliated Hospital of Hebei University, Baoding, China
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