Hisense计算机辅助系统辅助腹腔镜精准手术治疗儿童肾上腺区巨大肿瘤

目的探讨计算机辅助手术系统(computer-aided system,CAS)对于腹腔镜手术切除肾上腺巨大肿瘤(瘤体直径≥5 cm)的指导价值。方法回顾性分析青岛大学附属医院2015年9月至2018年6月收治的13例肾上腺区巨大肿瘤病例,13例术前均完善相关辅助检查并行Hisense CAS三维重建,依据三维重建结果指导完成腹腔镜手术。结果13例肾上腺区巨大肿瘤患儿术前和术中在Hisense CAS三维重建结果的指导下均顺利完成腹腔镜手术。术后病理检查:神经母细胞瘤7例,节细胞性神经母细胞瘤2例,节细胞神经瘤1例,嗜铬细胞瘤2例,肾上腺皮质癌1例。结论Hisense计算机辅助系统能够清晰显示肿瘤位置及其与周围重要脏器结构的毗邻关系,可用于指导手术治疗儿童肾上腺区巨大肿瘤。

Hisense computer-aided system assisted laparoscopy in the accurate treatment of large adrenal tumors in children

Objective To explore the application of laparoscopic adrenalectomy in pediatric adrenal tumors(diameter≥5 cm)by using Hisense computer-aided system(CAS).Methods The clinical data were retrospectively analyzed for 13 children with adrenal tumors undergoing laparoscopic adrenalectomy from September 2015 to June 2018.Results All laparoscopic procedures were successfully performed with an average operative duration of 105(120-210)min.The results of pathological examinations indicated neuroblastoma(n=7),ganglioneuroblastoma(n=2),ganglioneuroma(n=1),pheochromocytoma(n=2)and adrenocortical carcinoma(n=1).Conclusion Capable of distinctly displaying the location of tumors and its relationship with the adjacent surrounding important organ structures,Hisense CAS may be employed for guiding the operations of large adrenal tumors in children.