3D肝脏分析软件用于复杂型肝癌切除术前评估

目的 观察3D肝脏分析软件用于复杂型肝癌切除术前评估的价值。方法 收集60例原发性肝细胞癌（HCC）患者，其中30例于复杂型肝癌切除术前接受3D肝脏分析软件（3D组，n=30）、30例接受2D后处理软件（2D组，n=30）评估，比较组间手术时间、术中出血量、手术方式改变率和术后并发症发生率、术后住院时间、术后1年死亡率及1年复发率的差异，分析3D肝脏分析软件的价值。结果 3D组1例及2D组8例术中改变原计划手术方式，切除肝段数量增加或转为肝叶切除；3D组手术时间、术中出血量及手术方式改变率均明显少于2D组（P均<0.05）。结论 3D肝脏分析软件用于复杂型肝癌切除术前评估具有一定价值。

3D liver analysis software for preoperative evaluation of complex hepatectomy for primary liver cancer

Objective To observe the value of 3D liver analysis software for preoperative evaluation of complex hepatectomy for primary liver cancer. Methods Sixty patients with primary hepatocellular carcinoma (HCC) were enrolled, including 30 underwent 3D liver analysis software (3D group) and 30 underwent analysis of 2D post-processing software (2D group, n=30) before complex hepatectomy. The operation time, intraoperative bleeding volume and change rate of resection way, postoperative complication rate, postoperative hospital stay, 1-year mortality and 1-year recurrence rate after surgery were compared between 2 groups. The value of 3D liver analysis software was analyzed. Results The original planned resection ways changed to lobectomy of liver or the hepatectomy segments increased in 1 case of 3D group and 8 cases of 2D group. The operation time, intraoperative bleeding volume and the change rate of resection way in 3D group were all less than those in 2D group (all P<0.05). Conclusion 3D liver analysis software had a certain value for preoperative evaluation of complex hepatectomy for primary HCC.