3D虚拟手术规划技术联合腹腔镜小肝癌切除术对患者预后的影响观察  

Effect of 3D virtual surgery planning technique combined with laparoscopic resection of small hepatocellular carcinoma on the prognosis of patients

作　　者：田广磊[1] 侯梅华 陈伦牮[1] 余波锋 李智德 马俊杰 孟塬[1] 戈小虎[4] 陈雄[1] TIAN Guang-lei;HOU Mei-hua;CHENG Lun-jian(The People’s Hospital of Uygur,Urumqi 83000,China)

机构地区：[1]新疆维吾尔自治区人民医院肝胆外科,乌鲁木齐830000 [2]新疆军区总医院肿瘤科 [3]新疆维吾尔自治区人民医院放射影像中心 [4]新疆维吾尔自治区人民医院医学3D打印创新研究中心

出　　处：《肝胆外科杂志》2023年第1期33-37,共5页Journal of Hepatobiliary Surgery

基　　金：新疆维吾尔自治区自然科学基金资助项目(面上项目)(编号:2018D01C131)。

摘　　要：目的观察3D虚拟手术规划技术联合腹腔镜小肝癌切除术对患者预后的影响.方法选取新疆维吾尔自治区人民医院肝胆外科86例行腹腔镜小肝癌切除术的小肝癌患者,按照术前是否采用3D虚拟手术规划技术分为观察组与对照组,比较2组手术指标、手术前后肝功能[谷草转氨酶(AST)、谷丙转氨酶(ALT)、总胆红素(TBIL)、白蛋白]、并发症发生率及术后1年生存情况.结果2组手术时间比较无显著差异(P>0.05);观察组术中出血量与输血量明显少于对照组(P<0.05),肝门阻断时间、平均住院时间明显短于对照组(P<0.05);2组术前与术后AST、ALT、TBIL、白蛋白水平比较无显著差异(P>0.05);观察组并发症总发生率明显低于对照组(P<0.05);2组术后1年无进展生存率与总生存率比较无显著差异(P>0.05).结论3D虚拟手术规划技术联合腹腔镜小肝癌切除术能够有效缩短肝门阻断时间,减少手术创伤,降低患者术后并发症风险,更利于其康复.Objective To observe the effect of 3D virtual surgery planning technique combined with laparoscopic resection of small hepatocellular carcinoma on the prognosis of patients.Methods According to the use of 3D virtual surgery planning technique before operation,86 patients with small hepatocellular carcinoma treated by laparoscopic resection in the department of hepatobiliary surgery at the People's Hospital of Xinjiang Uygur Autonomous Region were divided into observation group and control group.The operation indexes,liver function[aspertate aminotransferase(AST),alanine aminotransferase(ALT),total bilirubin(TBIL),albumin]before and after operation,the incidence of complications and postoperative 1-year survival were compared between the 2 groups.Results There was no significant difference in operation time between the 2 groups(P>0.05).The intraoperative blood loss and blood transfusion volume of the observation group were both significantly less than those of the control group(P<0.05).The time of hepatic portal occlusion and average hospital stay were significantly shorter than those of the control group(P<0.05).There were no significant differences in the levels of AST,ALT,TBIL and albumin between the two groups before and after operation(P>0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).There were no significant differences in the postoperative 1-year progression-free survival rate and overall survival rate between the two groups(P>0.05).Conclusion 3D virtual surgery planning technique combined with laparoscopic resection of small hepatocellular carcinoma can effectively shorten the time of hepatic portal occlusion,reduce surgical trauma,and lower the risk of postoperative complications,which is more conducive to recovery.

关 键 词：肝癌 腹腔镜手术 3D虚拟手术规划 预后 

分 类 号：R735.7[医药卫生—肿瘤]