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In addition, the perceived benefit of 3D reconstructions was assessed through a questionnaire submitted to the experienced surgeons of the team (Likert scale, 1 to 5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-nine patients were included in the study population: 17 with arterial thrombosis\/stenosis, 11 with portal vein thrombosis and 11 with biliary strictures diagnoses. The concordance rate between 3D models\u2019 virtual reproduction and intraoperative findings evaluated for arterial complications was 88.2%. According to the most experienced surgeons of the team, 3D models provide a high benefit in surgical planning (4.6\/5 on a Likert scale).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Virtual reconstructions are particularly useful in transplantation-related complication management, giving reliable representation of structures\u2019 caliber, trajectory, and spatial relationships; identifying anatomical variants and locating the level, length, and severity of vascular and biliary strictures. In such a complex scenario, the 3D models\u2019 visual clarity helps harmonize perspectives within the multidisciplinary team, fostering more informed and shared clinical decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00423-026-03984-w","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T17:06:53Z","timestamp":1772212013000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Personalized 3D surgical planning in liver transplantation: A new era in preoperative assessment and management of vascular and biliary complications"],"prefix":"10.1007","volume":"411","author":[{"given":"Victor","family":"Lopez-Lopez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8754-1007","authenticated-orcid":false,"given":"Cecilia","family":"Maina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda","family":"Hern\u00e1ndez-Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Cascales-Campos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Baroja-Mazo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilmurodjon","family":"Eshmuminov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Antonio-Pons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"Carbonell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Hern\u00e1ndez-Kakauridze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Rodriguez-Vel\u00e1zquez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"S\u00e1nchez-Bueno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Robles-Campos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel A.","family":"G\u00f3mez-Bravo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Ram\u00edrez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"3984_CR1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016891","volume":"7","author":"LE Diment","year":"2017","unstructured":"Diment LE, Thompson MS, Bergmann JHM (2017) Clinical efficacy and effectiveness of 3D printing: a systematic review. 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The study was conducted in accordance with the Declaration of Helsinki and its subsequent amendments. The study was approved by the institutional ethics board of the Clinic and University Hospital Virgen de la Arrixaca (Murcia, Spain; Internal Protocol Code: 2025-2-3-HCUVA) and individual consent for this retrospective analysis was waived.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical statement"}},{"value":"The authors have completed the STROBE reporting checklist (online resource 4).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Reporting checklist"}},{"value":"Author Miguel Rodriguez Vel\u00e1zquez declare a potential conflict of interest with Cella Medical Solution, the provider of the 3D reconstruction software used in this study. However, data analysis and interpretation were independently performed by CM and DE, who report no conflicts of interest. All the other authors declare no conflicts of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"105"}}