聚焦胆管可切除性评估——医学影像技术和三维重建在肝门部胆管癌根治术术前规划中的应用  

Focusing on the evaluation of resectability of bile ducts-Application of medical imaging technology and 3D reconstruction in preoperative planning for radical resection of hilar cholangiocarcinoma

作　　者：丁向民 柏斗胜 蒋国庆 金圣杰 张弛 王谦 周保换 王敖青 刘仁杰 DING Xiang-min;BAI Dou-sheng;JIANG Guo-qing;JIN Sheng-jie;ZHANG Chi;WANG Qian;ZHOU Bao-huan;WANG Ao-qing;LIU Ren-jie(Hepatobiliary Center of Northern Jiangsu People's Hospital Affiliated to Yangzhou University,225001,Yangzhou,Jiangsu)

机构地区：[1]扬州大学附属苏北人民医院肝胆中心,江苏扬州225001

出　　处：《中国现代普通外科进展》2024年第10期789-793,共5页Chinese Journal of Current Advances in General Surgery

基　　金：国家自然科学基金项目(82373034)。

摘　　要：肝门部胆管癌是胆道系统的常见恶性肿瘤,根治性手术是重要的治疗手段之一。肝门部空间狭小、解剖变异率高,根治术难度大。应用医学影像技术和三维重建,术者可以在术前精准判断肝门部胆管癌的分期分型,参考胆管分离极限点(U点、P点)对肝门部胆管癌的可切除性进行评估,并预估门静脉、胆管、动脉变异对手术方案造成的影响,做好术前规划,提高根治性切除率,降低并发症发生率。Hepatohilar cholangiocarcinoma is a common malignant tumor of the biliary system,and radical surgery is one of the important treatment methods.Due to the narrow space at the hilum and the high rate of anatomical variation,radical surgery is challenging.By using medical imaging technology and 3D reconstruction,surgeons can accurately determine the stage and classification of hilar cholangiocarcinoma preoperatively.They can assess the tumor’s resectability by According to the bile duct separation limit points(U point,P point)and anticipate the impact of portal vein,bile duct,and arterial variations on the surgical plan,thereby improving the rate of radical re-section and reducing complication rates.

关 键 词：肝门部胆管癌 医学影像技术 三维重建 外科治疗 术前规划 

分 类 号：R735.8[医药卫生—肿瘤]