中国现代医学杂志2016，Vol.26Issue(4)：48-53,6.DOI:10.3969/j.issn.1005-8982.2016.04.010
三维手术模拟系统在复杂性肝脏肿瘤精准肝切除中的应用
Application of 3D surgery simulation system in precise hepatectomy for patients with complicated liver tumor
张新俊 1高波 2莫一我 1王彦坤 1王晓云 1陈磊 1王梓俞 1胡磊 1杨超 1戴已禾1
作者信息
- 1. 云南省第一人民医院 肝胆外科，云南 昆明 650032
- 2. 昆明医科大学，云南 昆明 650500
- 折叠
摘要
Abstract
Objective To investigate the clinical value of three-dimensional surgery simulation system in precise hepatectomy for patients with complex liver tumor. Methods 85 patients underwent complex liver tumor resection in our hospital from May 2009 to June 2014 were retrospectively analyzed. All patients received preoperative liver CTA and then three-dimensional simulation for resected liver volume, the remnant one and surgical margin. By comparing with the actual operation data, the optimized virtual procedure for liver resection was investigated. Results The three-dimensional surgery simulation system can accurately reconstruct and display the demarcation of the tumor and its relationship with adjacent vessels. Virtual resected liver volume was statistically correlated with the actual one ( < 0.01) and the average resected volume has no difference ( = 0.068). Besides, the simulated surgical mar-gin related to the actual margin ( < 0.01) with equal means ( = 0.256). Conclusions The three-dimensional surgery simulation system can precisely evaluate and simulate the procedure of liver surgery preoperatively, provid-ing operation data and guidance for precise complicated tumor resection.关键词
三维手术模拟系统/精准肝切除/虚拟肝切除Key words
three-dimensional surgery simulation system/precise hepatectomy/virtual liver resection分类
医药卫生引用本文复制引用
张新俊,高波,莫一我,王彦坤,王晓云,陈磊,王梓俞,胡磊,杨超,戴已禾..三维手术模拟系统在复杂性肝脏肿瘤精准肝切除中的应用[J].中国现代医学杂志,2016,26(4):48-53,6.
