临床小儿外科杂志2016，Vol.15Issue(4)：379-382,388,5.DOI:10.3969/j.issn.1671-6353.2016.04.020
计算机辅助手术系统在小儿巨大肝间叶性错构瘤诊治中的应用
Usefulness of computer assisted surgical system for hepatic mesenchymal hamartoma in children
摘要
Abstract
Objetive To evaluate the usefulness of computer assisted surgical system (Hisense CAS)in assisting the diagnosis and treatment of hepatic mesenchymal hamartoma (HMH ) in chil-dren. Methods From September 2010 to January 2016,5 HMH children undergoing hepatectomy were ana-lyzed.They received preoperative thin-layer computed tomography (CT).And three-dimensional reconstruction and virtual hepatectomy in Hisense CAS were performed for 3 cases for assisting optimal operative planning and completing anatomic hepatectomy from July 2013 to January 2016. Results All operations were completed successfully and HMH was confirmed by pathology.There was neither complication nor recurrence during a fol-low-up period of 3 months to 5 years.Right and left hepatic lobe resections were achieved for 2 cases.And three-dimensional reconstruction and virtual hepatectomy were completed successfully for another 3 patients. Also 4-segment hepatectomy,V sectionectomy and right hepatectomy were completed after operative planning u-sing CAS. Conclusions It is difficult to diagnose HMH preoperatively.And Hisense CAS can clearly deline-ate the adjacent relationship of tumor and intrahepatic vessels so as to provide optimal operative planning and improve the success rates of complex hepatectomy.关键词
外科手术,计算机辅助/成像,三维/肝肿瘤/错构瘤/儿童Key words
Surgery,Computer-Assisted/Imaging,Three-Dimensional/Liver Neoplasms/Hamartoma/Child引用本文复制引用
吴萤,姜忠,周显军,孙兆旭,魏宾,张刚,郝希伟,朱呈瞻,董蒨,张虹..计算机辅助手术系统在小儿巨大肝间叶性错构瘤诊治中的应用[J].临床小儿外科杂志,2016,15(4):379-382,388,5.基金项目
十二五国家科技支撑计划课题（2013BAI01B03）；青岛市自主创新重大科技专项 （）
