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Fig 1.

3D virtual reconstruction based on CT data was shown on 1A, A 3D printing liver model modified by hollowed-out designation was shown on 1B. (T indicates tumor, dark blue vessels represent hepatic veins, light blue vessels represent portal veins, white plate full with holes represents liver surface).

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Fig 1 Expand

Fig 2.

A modified 3D printing liver model of hilar cholangiocarcinoma was applied in intraoperative navigation.

(RHA: right hepatic artery, PHA: proper hepatic artery, LPV: left portal vein, MHV: middle hepatic vein, MHV-V4: The venous reflux of hepatic segment 4 to MHV).

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Fig 2 Expand

Fig 3.

3D printing technology was applied in laparoscopic Ⅴ segmentectomy real-timely.

(vB5: the ventral bile duct of segment 5, dB5: the dorsal bile duct of segment 5, B8: the bile duct of segment 8, RAB: right anterior bile duct, RHV: right hepatic vein, RHV-V5: The venous reflux of hepatic segment 5 to RHV,RHV-V6: The venous reflux of hepatic segment 6 to RHV).

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Fig 3 Expand

Fig 4.

ICG fluorescent staining was applied to intraoperative navigation.

A: The mark-line (yellow arrows) between the removing liver and the preserving liver. B: Visual contrast in the dissection of liver parenchyma were shown clearly (The green plan B was the preserving side, the other plan A was the removing side).

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Fig 4 Expand

Fig 5.

The actual intrahepatic ducts of surgical field were reconfirmed consistently with the liver model’s after operation.

(dP5:the dorsal portal vein of segment 5, vP5:the ventral portal vein of segment 5,vB5: the ventral bile duct of segment 5, dB5: the dorsalbile duct of segment 5, B8: thebile duct of segment 8, RHV: right hepatic vein, RHV-V5: The venous reflux of hepatic segment 5 to RHV,RHV-V6: The venous reflux of hepatic segment 6 to RHV).

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Fig 5 Expand

Table 1.

Demographics and preoperative characteristics of the non-3DP and 3DP groups.

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Table 1 Expand

Fig 6.

Recurrence-free survival (RFS) and overall survival (OS) analysis between the 3DP and non-3DP groups of patients with HCC.

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Fig 6 Expand

Table 2.

Intraoperative and postoperative characteristics of the non-3DP and 3DP groups.

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Table 2 Expand