CAJ | 학술논문

目的评价计算机辅助手术规划系统在肝癌肝切除中的临床价值.方法 2010年1月至2012年1月,21例肝癌肝切除患者纳入本研究,术前均进行计算机辅助手术规划.结果计算机辅助手术规划在21例患者均获得成功.三维解剖学评估结果精确,并且可量化分析.预测的切除肝体积与实际切除肝体积显著相关,误差率3.5％.肝切除的类型包括解剖性肝切除15例,局部肝切除6例.围手术期死亡率为零,并发症发生率14.3％(3/21).结论计算机辅助手术规划系统可以可靠分析肝脏脉管结构并预测切除肝体积,因此有助于推动实施精准与安全的肝切除.
목적 평개계산궤보조수술규화계통재간암간절제중적림상개치.방법 2010년1월지2012년1월,21례간암간절제환자납입본연구,술전균진행계산궤보조수술규화.결과 계산궤보조수술규화재21례환자균획득성공.삼유해부학평고결과정학,병차가양화분석.예측적절제간체적여실제절제간체적현저상관,오차솔3.5％.간절제적류형포괄해부성간절제15례,국부간절제6례.위수술기사망솔위령,병발증발생솔14.3％(3/21).결론 계산궤보조수술규화계통가이가고분석간장맥관결구병예측절제간체적,인차유조우추동실시정준여안전적간절제.
Objective To evaluate the role of computer-assisted surgical planning system in liver resection for patients with hepatocellular carcinoma (HCC).Methods Between January 2010 and January 2012,21 patients with HCC who underwent liver resection were included in this study.Computer assisted operative planning was performed before surgery.Results Computer-assisted surgical planning was performed successfully in all the 21 patients.The three dimensional anatomic evaluation was precise and quantitative.The predicted liver resection volume showed a significant correlation with the actual volume,with a mean difference of 3.5％.The types of liver resection included anatomic liver resection (15 patients) and local resection (6 patients).There was a 0％ mortality and a 14.3％ morbidity (3/21).Conclusions The computer-assisted surgical planning system reliably analyzed the 3D vascular structures and predicted accurately liver resection volumes.It can help to promote precise and safe liver resection.