CAJ | 학술논문

3D腹腔镜的出现为外科手术带来了更为精准的操作.2013年11月至2014年1月南方医科大学珠江医院运用腹部医学图像三维可视化系统对16例患者CT数据进行三维重建和术前手术规划,并联合3D腹腔镜实施微创手术.其中胆囊切除术7例,肝脏肿瘤行肝切除术5例,术中联合胆道硬镜靶向碎石治疗肝胆管结石病3例,右肝巨大肝囊肿大部分切除术1例.16例患者术后无出血、胆汁漏等并发症发生.三维可视化技术联合3D腹腔镜,减少手术创伤,降低手术并发症发生率,临床应用前景良好.
3D복강경적출현위외과수술대래료경위정준적조작.2013년11월지2014년1월남방의과대학주강의원운용복부의학도상삼유가시화계통대16례환자CT수거진행삼유중건화술전수술규화,병연합3D복강경실시미창수술.기중담낭절제술7례,간장종류행간절제술5례,술중연합담도경경파향쇄석치료간담관결석병3례,우간거대간낭종대부분절제술1례.16례환자술후무출혈、담즙루등병발증발생.삼유가시화기술연합3D복강경,감소수술창상,강저수술병발증발생솔,림상응용전경량호.
Three dimensional laparoscopy faciliated the precision manipulation in surgery.From November 2013 to January 2014,the computed tomography data of 16 patients with hepatobiliary diseases were reconstructed by the abdominal medical image three dimensional visualization software (MI-3DVS) to direct the operation.The operation was done under the three dimensional laparoscope.Of the 16 patients,7 received laparoscopic cholecystectomy,5 with liver cancer received hepatectomy,3 with hepatolithiasis received pneumatic lithotripsy under rigid choledochoscope,1 with large cyst in the right liver received subtotal resection of the liver.No postoperative bleeding and bile leakage were detected.Three dimensional visualization technology combined with three dimensional laparoscopy could reduce the incidence of surgical trauma and complications,and is helpful for achieving more accurate minimally invasive treatment.