Liu Jinqiao,Chen Wenjuan,Yin Qiang,et al.Application of digital three-dimensional reconstruction technology combined with intraoperative B-ultrasound navigation in children’s anatomical liver resection[J].Journal of Clinical Pediatric Surgery,,20():930-934.[doi:10.12260/lcxewkzz.2021.10.007]
Application of digital three-dimensional reconstruction technology combined with intraoperative B-ultrasound navigation in children’s anatomical liver resection
- Keywords:
- Liver Neoplasms/SU; Surgery; Computer-Assisted; Ultrasonography; Hepatectomy/MT; Treatment Outcome
- CLC:
- R735.7;R322.47;R726.1;R612;R445.12;R445
- Abstract:
- Objective To explore the application value of digital three-dimensional reconstruction technology combined with intraoperative B-ultrasound navigation in children’s anatomical liver resection.Methods Preoperative thin-slice enhanced CT scans were performed on 41 children with liver tumors (observation group), and digital three-dimensional reconstruction technology was used to accurately assess the tumor’s involvement of the liver lobe or liver segment in relation to the portal vein and hepatic vein.Combined with intraoperative B-ultrasound navigation, hepatic vein section and second and tertiary Glissonean pedicles were guided to perform anatomical liver resection.These children were compared with 22 children underwent traditional hepatectomy (control group) during the same period.Results The preoperative digital three-dimensional reconstruction image of the observation group clearly showed that the hepatic blood vessels were consistent with the intraoperative B-ultrasound detection.The three-dimensional image combined with B-ultrasound can guide the veins on the liver surface to accurately control the resection plane.Compared with the control group, the bleeding volume of the observation group was significantly reduced(t=2.207, P=0.0311), the postoperative liver function recovered quicker(t=2.347, P=0.024), the incidence of complications was lower, and the hospital stay was shorter(t=2.483, P=0.0158), but the operation time was prolonged (t=3.781, P=0.004).Conclusion Digital 3D reconstruction technology can achieve accurate preoperative assessment and planning of surgery.It is helpful to combine with intraoperative B-ultrasound navigation for the implementation of anatomical liver resection, thereby reducing bleeding and complications, and making the operation more accurate, safe and effective.
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Memo
收稿日期:2021-01-31。
基金项目:湖南省科技厅创新引导项目（编号：2020SK50515）；湖南省卫生健康委课题（编号：202109021301）
通讯作者:刘金桥,Email:82642395@qq.com