复杂性肝脏肿瘤切除三维可视化精准诊治指南(2019版)
Clinical practice guidelines for precision diagnosis and treatment of complex liver tumor guided by three-dimensional visualization technology (version 2019)
摘要
Abstract
Virtual resection of liver structures guided by three-dimensional visualization technology (3DVT) has been extensively used in China.This technique provides a safe and effective method for accurate diagnosis of liver tumors and has important applications in preoperative evaluation,surgical planning and intraoperative guidance of liver cancer surgeries.The technical advantages and clinical significance of 3DVT in the diagnosis and treatment of complex liver tumors have been recognized.In order to standardize the application of 3DVT in the precision diagnosis and treatment of complex liver tumors,this guideline provides explanations and recommendations in the following aspects:(1) the establishment of homogenization processing and quality control system of 3D reconstruction;(2) the establishment of 3D reconstructed models of abdominal organs and lesions;(3) the individualized classification and quantitative analysis of blood vessels based on 3DVT;(4) 3DVT-based classification and grading of hepatic vessels in complex hepatic tumors;(5) evaluation system for surgery evaluation after reconstruction of the 3D visualization model;(6) application of 3D printing in complex hepatectomy;(7) virtual reality technology;(8) ICG fluorescence imaging;(9) multimodal images for real-time navigation;(10) three-dimensional visualization to guide the preoperative surgical planning of precision hepatectomy;(11) application of 3DVT guidance in other therapeutic methods of hepatocellular carcinoma;(12) application of 3DVT in follow-up evaluation of the patients after liver cancer surgeries.3DVT for visualization of the liver structures has important clinical values for accurate preoperative evaluation,preoperative planning and surgical navigation of complex liver tumors,and it facilitates precision surgeries to improve the outcomes and promote postoperative recovery of the patients.关键词
三维可视化/3D打印/虚拟现实/荧光影像/复杂性肝脏肿瘤/解剖性/功能性/根治术/肝切除术Key words
three-dimensional visualization/three-dimensional printing/virtual reality/fluorescence imaging/complex liver tumors/hepatectomy引用本文复制引用
中华医学会数字医学分会,中国医师协会肝癌专业委员会,中国医师协会临床精准医学专业委员会,中国研究型医院学会数字智能化外科专业委员会..复杂性肝脏肿瘤切除三维可视化精准诊治指南(2019版)[J].南方医科大学学报,2020,40(3):297-307,11.基金项目
This work was supported by grants from the National Key R&D Program (2016YFC0106500) （2016YFC0106500）
Major Instrument Project of National Natural Science Foundation of China (81627805) （81627805）
National High Technology Research and Development Program of China (863 Program （）
2012AA021105,2006AA02Z346) （）
the NSFC-GD Union Foundation (U1401254) （U1401254）
Natural Science Foundation of Guangdong Province (6200171) （6200171）
Integration Project of Production,Teaching and Research of Department of Education of Guangdong Province (2009B080701077) （2009B080701077）
Science and Technology Program of Guangdong Province (2012A080203013) （2012A080203013）
Science and Technology Plan of Guangzhou (201604020144).“十三五”国家重点研发计划数字诊疗装备研发重点专项(2016YFC0106500800) （201604020144）
国家自然科学基金重大仪器项目(81627805) （81627805）
“十二五”国家高技术研究发展(863计划)(2012AA021105) （863计划）
“十一五”国家高技术研究发展(863计划)(2006AA02Z346) （863计划）
国家自然科学基金-广东联合基金重点支持项目(U1401254) （U1401254）
广东省自然科学基金团队项目(6200171) （6200171）
广东省部产学研结合项目(2009B080701077) （2009B080701077）
广东省重大科技专项计划项目(2012A080203013) （2012A080203013）
广州市科技计划项目(201604020144) （201604020144）
