外科理论与实践2019，Vol.24Issue(2)：126-130,5.DOI:10.16139/j.1007-9610.2019.02.009
三维可视化技术在肝门胆管癌术前评估中的应用
Three-dimensional visualization in preoperative assessment of hilar cholangiocarcinoma
摘要
Abstract
Objective To evaluate the resectability of hilar cholangiocarcinoma using three-dimensional visualization technique. Methods A retrospective analysis was done using the clinical data of 15 patients with hilar cholangiocarcinoma who underwent radical dissection between June 2018 and January 2019 in Department of General Surgery Zhongshan Hospital. Epigastric computed tomography scan combined with three-dimensional visualization by 3 D-Liver imaging analysis system was performed for assessment of anatomical variants, tumor classification, vascular invasion, respectability and preoperational planning. We compared preoperative assessment with operative finding, and analyzed operative time, blood loss and peri-operative complication. Results Based on three-dimensional visualization of Bismuth-Corlette classification, there were 3 cases in type Ⅱ, 10 cases in type Ⅲ, and 2 cases in type Ⅳ. Liver volume was evaluated (1 286.06±321.56) m L, and left and right liver volume were (451.90±173.98) mL and (834.14±220.34) mL, respectively. The tumor volume was evaluated as (15.19±12.91) mL. Twelve in 15 patients (80％) completed radical resection, which was consistent with preop-erative evaluation. There were 5 cases with variant hepatic artery, 4 cases with variant hepatic vein and 1 case with variant portal vein, which was all correctly evaluated preoperatively. Eleven patients had liver resection. Operative time was (343±111) minutes with blood loss (355 ±189) mL. Conclusions Three-dimensional visualization had important role in preoperative assessment of hilar cholangiocarcinoma and allowing operation safety.关键词
肝门胆管癌/三维可视化/术前评估Key words
Hilar cholangiocarcinoma/Three-dimensional visualization system/Preoperative assessment分类
医药卫生引用本文复制引用
王吉文,沈盛,倪小健,王越琦,刘寒,刘厚宝..三维可视化技术在肝门胆管癌术前评估中的应用[J].外科理论与实践,2019,24(2):126-130,5.基金项目
上海市科学技术委员会(16411952000) （16411952000）
徐汇区尖峰项目(SHXH201703) （SHXH201703）
复旦大学附属中山医院临床研究(2018ZSLC24) （2018ZSLC24）
