二维影像技术和三维可视化技术辅助ALPPS治疗肝癌效果的初步探讨

二维影像技术和三维可视化技术辅助ALPPS治疗肝癌效果

的初步探讨

胡志刚;黄拼搏;周振宇;何传超;张贺云;李文滨;肖治宇;张建龙;徐鋆耀

【期刊名称】《中华外科杂志》 【年(卷),期】2016(054)009

【摘要】Objective To preliminarily explore the application value of two-dimensional image technology and three-dimensional visualization technology in hepatocellular carcinoma (HCC) treated by associating liver

partition

and

portal

vein

ligation

for

staged

hepatectomy(ALPPS).Methods Clinical data of nineteen HCC patients treated by ALPPS were retrospectively analyzed in Sun-Yat-Sen Memorial Hospital of Sun Yat-Sen University from August 2013 to May 2015.Preoperative assessment,surgical planning and intraoperative guidance were assisted by traditional two-dimensional imaging technology (group 2D) in 15 cases,and the rest 4 cases were assisted by three-dimensional visualization technology (group 3D).Results Three-dimensional visualization technology offered precise,visual,and distinct images,calculated the liver volume precisely,achieved virtual simulation operations,and assisted the formulation of intraoperative decisions.The mean operation time of the first stage were (331.3 ± 61.7) minutes and (261.3 ± 21.4)minutes in group 2D and group 3 D,and the mean volume of intraoperative bleedings were (360.7 ± 51.9) ml and (300.0 ± 40.8)