三维可视化技术在原发性肝癌肝切除术中的应用  

Application of 3D visualization technique in hepatectomy for primary hepatocellular carcinoma

作　　者：陈壮浩[1] 郭锋满 梁健 李建明[1] 陈海生[1] 李伟[1] 宋巍巍[1] CHEN Zhuang-hao;GUO Feng-man;LIANG Jian;LI Jian-ming;CHEN Hai-sheng;LI Wei;SONG Wei-wei(DepartmentⅢof Surgery,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]中山市中医院外三科,广东中山528400

出　　处：《广东医科大学学报》2021年第4期453-456,共4页Journal of Guangdong Medical University

摘　　要：目的评估三维可视化技术在原发性肝癌手术规划中应用价值。方法84例原发性肝癌患者分别采用三维可视化技术图像重建(观察组)、常规方法(对照组)进行肿瘤切除,比较两组手术规划、并发症发生情况。结果观察组手术规划更改率高于对照组(P<0.05),而平均手术时间、入肝血流阻断时间、术中出血量及红细胞悬液输血量、术后并发症低于对照组(P<0.01)。结论三维可视化技术可优化原发性肝癌手术方案,利于术中精细操作,减少术后并发症。Objective To evaluate the application of 3D visualization technique in surgical planning of primary hepatocellular carcinoma(PHCC).Methods Eighty-four patients with PHCC underwent tumor resection via preoperative 3D reconstruction(observation group)or conventional method(control group).The surgical planning and complications were compared between two groups.Results Compared with control group,surgical planning change was higher(P<0.05),while average operation time,hepatic blood flow occlusion time,intraoperative blood loss and erythrocyte suspension transfusion,and postoperative complications were lower in observation group(P<0.01).Conclusion 3D visualization technique can optimize surgical planning and improve operative skills and postoperative complications in PHCC.

关 键 词：原发性肝癌 肝切除 三维可视化技术 

分 类 号：R735.7[医药卫生—肿瘤]