3D虚拟肝脏技术在精准肝脏切除中的应用价值.pdfVIP

2010年第37 卷第18期 中国肿瘤临床 1077 3D虚拟肝脏技术在精准肝脏切除中的应用价值 廖雯俊 综述 邬林泉 审校 摘要 3D 虚拟肝脏技术凭借着其三维空间构型的特点，在精准肝脏切除方面较二维影像学有着明显的优势，其不仅可以清 晰准确地呈现出肝脏整体解剖结构，肝内管道系统的走形分布，进行肿瘤的精确定位，而且可以通过进行三维立体的可视化重 现，让术者更直观地观察病变部位的特点，提供肝脏容量分析和虚拟手术操作。在彻底切除目标病灶，最大限度减少肝组织损伤 和出血、确保剩余肝脏结构的完整和功能的代偿等方面，3D 虚拟肝脏技术也有重要的应用价值。 关键词 3D 虚拟肝脏技术 精准肝脏切除 肝癌 doi:10.3969/j.issn. 1000-8179.2010.18.018 TheApplicationValueof3DHepaticSimulationinPreciseHepatectomy LIAO Wenjun, WU Linquan Corresponding author: WU Linquan, E-mail: liubonc@ Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, PR China Abstract Based on the characteristics of the three-dimensional conformation, three-dimensional visualization hepatic simulation has a more distinct advantage than that of two-dimensional imaging in precise hepatectomy. This technology not only presents a clear and accurate anatomical structure of the whole liver, intrahepatic pipeline distribution system, exact lo- cation of the tumor, and more, it can also be reproduced in three-dimensional visualization. All of these can allow more intui- tive observation of lesion characteristics. In addition, the capacity analysis and hepatectomy simulation can be used in this 3D hepatic simulation. There is extremely important application value in complete resection of target lesions, minimizing liv- er tissue damage and bleeding, and maintaining the integrity of the remaining liver structure and function. Keywords Computer-assisted Three-dimensional imaging; Precise hepatectomy; Liver neoplasms ［4 ］ 近十几年来，肝脏部分切除在治疗肝脏恶性肿 董家鸿等 率先提出了“精准肝脏切除”的概 瘤中扮演着越来越重要的角色，手术治疗仍然是目 念。倡导以患者的最佳预后为目标，彻底切除目标 ［1］ 前原发性肝癌治疗中最有效的方法 。对于大部分 病灶，最大限度减少肝组织损伤和出血，确保剩余肝 肝细胞