可视化3D影像辅助下的精准肝切除  

Impact of three-dimensional analysis of multidetector row computed tomography for precise hepatetectomy

作　　者：谢于[1] 王瑞玲[1] 王郜[2] 孙强[1] 闫涛[1] 

机构地区：[1]中国人民解放军第二炮兵总医院肝胆胃肠病研究所,北京100088 [2]烟台毓璜顶医院麻醉科,山东烟台264000

出　　处：《中国现代普通外科进展》2012年第7期527-529,共3页Chinese Journal of Current Advances in General Surgery

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.

关 键 词：肝切除术 精准 可视化3D影像 

分 类 号：R657.3[医药卫生—外科学]