Hisense计算机辅助手术系统在腹腔镜肝癌切除术围手术期的应用  

Application of Hisense computer-assisted surgery system in perioperative period of laparoscopic hepatectomy for liver cancer

作　　者：李昕雨 臧子琪 郝启胜 查立超 宫明凯 董国飞 李庆泽 田蓝天 LI Xin-yu;ZANG Zi-qi;HAO Qi-sheng;CHA Li-chao;GONG Ming-kai;DONG Guo-fei;LI Qing-ze;TIAN Lan-tian(School of Medicine,Qingdao University,Qingdao 266000,China;Department of Hepatobiliary Pancreatic Surgery,Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Pediatric Surgery,Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Retroperitoneal Tumor Surgery,Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学医学部,山东青岛266000 [2]青岛大学附属医院肝胆胰外科,山东青岛266000 [3]青岛大学附属医院小儿外科,山东青岛266000 [4]青岛大学附属医院腹膜后肿瘤外科,山东青岛266000

出　　处：《中国现代普通外科进展》2024年第6期435-441,共7页Chinese Journal of Current Advances in General Surgery

基　　金：国家自然科学基金面上项目(编号:82073078)。

摘　　要：目的:探讨Hisense计算机辅助手术系统(CAS)在腹腔镜肝癌切除术围手术期的临床应用。方法:收集2021年1月至2022年12月行腹腔镜肝切除术(LH)的肝癌患者的临床资料。将患者按手术难度分为低、中、高难度3个组,再根据术前是否使用CAS辅助系统分成CAS辅助亚组和对照组,比较不同组别患者的人口学及围手术期资料。结果:共收集317例患者临床资料,其中低难度组31例,中难度组132例,高难度组154例;CAS辅助亚组108例(34.1%),对照组209例(65.9%)。中难度组CAS辅助亚组的手术时间、引流管留置时间和术后住院时间均短于对照组(P<0.001),术后1月AFP低于对照组(P<0.001)。高难度组CAS辅助亚组的手术时间、引流管留置时间和术后住院时间均短于对照组,术中出血量少于对照组,术后1月AFP低于对照组(P均<0.001)。结论:中、高难度LH术前行CAS的患者围手术期结局更佳。Hisense CAS可有效协助普外科医生清晰确定肝肿瘤解剖部位,提供精准术前模拟和术中导航,为患者制定最佳手术方案。Objective:To explore the clinical application of Hisense Computer-Assisted Sur-gery System(CAS)in the perioperative period of hepatectomy for liver cancer.Methods:Clinical data of patients undergoing laparoscopic hepatectomy(LH)for liver cancer from January 2021 to December 2022 were collected.Patients were divided into three groups based on surgical difficulty(low,medium,high)and further stratified into CAS-assisted subgroup and control subgroup ac-cording to whether the CAS system was used.Demographic and perioperative data were com-pared among different groups.Results:A total of 317 patients'clinical data were collected,in-cluding 31 cases in the low difficulty group,132 cases in th medium difficulty group,and 154 cases in the high difficulty group,with 108 cases(34.1%)in the CAS-assisted subgroup and 209 cases(65.9%)in the control group.In the medium difficulty group,the CAS-assisted subgroup had shorter operation time,drainage tube duration,and postoperative hospital stay compared to the control group(P<0.001),and the AFP levels at 1 month postoperatively in the CAS-assisted sub-group were lower than those in the control group(P<0.001).In the high difficulty group,the CAS-assisted subgroup showed shorter operation time,drainage tube duration,and postoperative hospi-tal stay,less intraoperative blood loss,and lower AFP levels 1 month post-operation compared to the control group(P<0.001 for all).Conclusion:Preoperative CAS in medium and high difficulty laparoscopic liver resections improves perioperative outcomes.Hisense CAS effectively assists general surgeons in accurately identifying the anatomical site of liver tumors,providing precise pre-operative simulation and intraoperative navigation,thereby optimizing surgical strategies for pa-tients.

关 键 词：肝肿瘤 计算机辅助手术系统 腹腔镜 围手术期 

分 类 号：R735.7[医药卫生—肿瘤]