Fan Xu,Lu Hongting,Zhou Xianjun,et al.Hisense computer-aided system assisted laparoscopy in the accurate treatment of large adrenal tumors in children[J].Journal of Clinical Pediatric Surgery,,19():50-53,58.[doi:10.3969/j.issn.1671-6353.2020.01.010]
Hisense computer-aided system assisted laparoscopy in the accurate treatment of large adrenal tumors in children
- Keywords:
- Adrenal Gland Neoplasms; Imaging; Three-Dimensional; Laparoscopy; Child
- CLC:
- R726;R736.6
- Abstract:
- 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.
References:
1 Matthay KK,Maris JM,Schleiermacher G,et al.Neuroblastoma[J].Nat Rev Dis Primers,2016,2:16078.DOI:10.1038/nrdp.2016.78.
2 Cheung NK,Dyer MA.Neuroblastoma:developmental biology,cancer genomics and immunotherapy[J].Nat Rev Cancer,2013,13(6):397-411.DOI:10.1038/nrc3526.
3 Davison AS,Jones DM,Ruthven S,et al.Clinical evaluation and treatment of phaeochromocytoma[J].Ann Clin Biochem,2018,55(1):34-48.DOI:10.1177/0004563217739931.
4 董蒨,陈永健,卢云,等.数字医学与计算机辅助手术的发展及临床应用[J].中国信息界-e医疗,2013,(9):58-61. Dong Q,Chen YJ,Lu Y,et al.Developments and clinical applications of digital medicine and computer-assisted surgery[J].e-healthcare,2013,(9):58-61.
5 宋孟锜,李碧露,韩冰,等.三维医学重建联合达芬奇机器人技术在肝切除术中的临床应用[J].精准医学杂志,2019,34(2):105-112.DOI:10.13362/j.jpmed.201902004. Song MQ,Li BL,Han B,et al.Clinical application of three-dimensional medical reconstruction plus Da Vinci robotic technology in hepatectomy[J].Journal of Precision Medicine,2019,34(2):105-112.DOI:10.13362/j.jpmed.201902004.
6 El-Baz A,Beache GM,Gimel’Farb G,et al.Computer-aided diagnosis systems for lung cancer:challenges and methodologies[J].Int J Biomed Imaging,2013,2013:942353.DOI:10.1155/2013/942353.
7 Sluimer I,Schilham A,Prokop M,et al.Computer analysis of computed tomography scans of the lung:a survey[J].IEEE Trans Med Imaging,2006,25(4):385-405.DOI:10.1109/TMI.2005.862753.
8 Suzuki K,Li F,Sone S,et al.Computer-aided diagnostic scheme for distinction between benign and malignant nodules in thoracic low-dose CT by use of massive training artificial neural network[J].IEEE Trans Med Imaging,2005,24(9):1138-1150.DOI:10.1109/TMI.2005.852048.
9 Mcgregor LM,Rao BN,Davidoff AM,et al.The impact of early resection of primary neuroblastoma on the survival of children older than 1 year of age with stage 4 disease:the St.Jude Children’s Research Hospital Experience[J].Cancer,2005,104(12):2837-2846.DOI:10.1002/cncr.21566.
10 Gagner M,Lacroix A,Bolte E.Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma[J].N Engl J Med,1992,327(14):1033.DOI:10.1056/NEJM199210013271417.
11 Knezevic N,Bernat MM,Kastelan Z,et al.Laparoscopic treatment of functioning adrenal tumors[J].Lijec Vjesn,2006,128(11-12):384-386.
Memo
收稿日期:2019-08-20。
基金项目:青岛市民生科技计划项目（编号：18-6-1-71-nsh）
通讯作者:鹿洪亭,Email:luhongting@126.com