3D影像辅助下的肝脏切除手术规划

[目的]评价3D影像辅助下的肝脏切除术前规划.[方法]2009年11月至2011年11月收治的23例肝癌患者,术前行3D影像辅助下的肝脏切除术前规划.计算出全肝体积、残肝体积、模拟切除平面和范围.比较各种手术方案的优越性及可行性.[结果]23例患者按照3D模拟设计的手术方案进行手术,术后2例发生胆瘘,2例胸腔积液,3例出现腹水,术后死亡率为0.所有患者安全出院,平均住院时间为13d.[结论]3D影像能够模拟各种手术方案,设计出不同的断肝平面和切除范围,给外科医师提供了多种选择方法,符合精准外科的理念和思想,实现个体化治疗.

Three-dimensional Imaging Assisted Operative Planning for Liver Resection

[Purpose] To evaluate 3D imaging assisted preoperative planning for liver resection.[Methods] Three-dimensional imaging assisted preoperative planning was applicated to 23 patients with liver cancer from Nov.2009 to Nov.2011.Total liver volume and remanent liver volume were calculated.Various resection planes and ranges were simulated,and the advantages and feasibilities of various kinds of operation proposals were compared.[Results] Twenty-three patients were operated according to 3D imaging assisted operation plans.Biliary fistula occurred in 2 cases;pleural effusion,in 2 cases;ascites,in 3 cases and no one postoperation death,zero.All patients discharged safely with average hospital stay 13d.[Conclusion] Threedimensional imaging can simulate resection plan and afford different operative planning before operation,which fits precise liver resections,and implements individualized treatment.