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可视化3D影像辅助下的精准肝切除 被引量:2

Impact of three-dimensional analysis of multidetector row computed tomography for precise hepatetectomy
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摘要 目的:评价可视化3D影像辅助下的精准肝切除。方法:回顾性分析2009年11月—2011年11月利用3D可视化影像辅助下进行的肝脏外科手术23例,从3D影像角度行术前评估和手术方案设计。结果:23例均按照术前设定方案顺利完成手术,术后2例发生胆瘘,2例胸腔积液,3例腹水。术后死亡率为0。所有患者均安全出院,平均住院时间13 d。结论:可视化3D影像辅助可提供更加丰富的信息,有助于外科医师进行准确的术前评估和合理的手术方案设计,符合精准的肝胆外科理念。 Objiective:To evaluate the applicationj of 3-D dimension on precise hepatectomy.Methods:23 cases evaluated by 3-D dimension from Nov 2009 to Nov 2011 were retrospectively analyzed,including the introhepatic conduits and made operation proposal.Resutls:2 cases occurrenced biliary fistula,2 cases occurrenced pleural effussion,3 cases occurrenced ascites.Mortality was zero after operation.All patients were discharged safely,the average stay were 13 days.Conclusion:3-D dimension can supply more informations and can help surgeons to put out precise appraisal and proposal preoperation coincident with the theory of precise hepatectomy.
出处 《中国现代普通外科进展》 CAS 2012年第7期527-529,共3页 Chinese Journal of Current Advances in General Surgery
关键词 肝切除术 精准 可视化3D影像 Hepatectomy, precise·3-D dimension
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  • 1Lang H, Radtk A, Hindennaeh M, et al. hnpact of virtual tumor re- section and computer-assisted risk analysis on operation planning and intraoperative strate in major hepatic resection[J]. Arch Surg, 2005,140 ( 7 ) :629-638.
  • 2Yamanaka J, Saito S, Fujimoto J. Impact of preoperative planning using virtual segmental voumetry on liver resection for hepatocellu- lar carcinoma[J]. World J Surg, 2007,31 (6):1249-1255.
  • 3董家鸿.肝细胞癌治疗理念与策略的转变[J].中华消化外科杂志,2009,8(2):85-87. 被引量:89
  • 4董家鸿,黄志强.精准肝切除——21世纪肝脏外科新理念[J].中华外科杂志,2009,47(21):1601-1605. 被引量:421
  • 5Satio S, Yamanaka J, Miura K, et al. A novel 3D hepatectomy simu- lation based on liver circulation: application to liver resection and transplantation[J]. Hepatology, 2005.41 (6) : 1297-1304.
  • 6Radtke A, Nadalin S, Sotiropoulos GC, et al. Computer-assisted op- erative planning in adult living donor liver transplantation: a new way to resolve the dilemma of the middle hepatic vein [J]. World J Surg, 2007,31 ( 1 ):175-185.
  • 7D.Mutter, B.Dallemagne, Ch.Bailey, et al. 3D virtual reality and se- leetive vascular control lbr laparoscopic left hepatic lobectomy[J]. Surg Endosc 2009,23:432-435.
  • 8Guido Torzilli, Angela Palmisano, Fabio Procopio, et al. A new sys- tematic small for size resection for liver tumors invading the middle hepatic vein at its caval confluence mini-mesohepatectomy [J]. Ann Surg, 2010,251:33-39.

二级参考文献20

  • 1黄志强.传统外科与消失中的外科传统——外科学的历史发展观[J].消化外科,2005,4(2):77-83. 被引量:8
  • 2黄志强.变幻世纪中的外科:挑战与对策[J].中华实验外科杂志,2007,24(2):133-134. 被引量:11
  • 3董家鸿.重塑肝细胞癌的系统化治疗模式[J].中华消化外科杂志,2007,6(1):3-4. 被引量:14
  • 4Bismuth H. Surgical anatomy and anatomical surgery of the liver. World J Surg, 1982,6:3-9.
  • 5Makuuchi M, Sano K. The surgical approach to HCC: our progress and results in japan. Liver Transpl,2004,10(supple) :46-52.
  • 6Imamura H, Seyama Y, Kokudo N, et al. One thousand fifty-six hepatectomies without mortality in 8 years. Arch Surg, 2003, 138 :1198-1206.
  • 7Brooke B, Nathan H, Pawlik TM. Trends in the quality of highly cited surgical research over the past 20 years. Ann Surg, 2009, 249 : 162-167.
  • 8Fan ST. Precise hepatectomy guided by the middle hepatic vein. Hepatobiliary Pancreat Dis Int, 2007, 6:430-434.
  • 9Clavien PA, Petrowsky H, DeOliveira ML, et ah Strategies for safer liver surgery and partial liver transplantation. N Engl J Med, 2007, 356 : 1545-1559.
  • 10Elwood D, Pomposelli JJ. Hepatobiliary surgery: lessons learned from live donor hepatectomy. Surg Clin N Am, 2006, 86:1207-1217.

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