CAJ | 학술논문

目的：肝癌三维重建在精准肝切除术中的应用价值。方法采集17例行肝占位病变切除患者的肝脏CT(2D)扫描数据，利用3D图像处理软件Myrian行肝肿瘤、肝脏、肝内脉管三维重建，术前模拟肝切除，以此指导精准肝切除。结果成功进行了肝脏、肿瘤和肝内血管的三维重建、虚拟肝切除、残肝体积测定，术前规划。并据此进行了临床治疗。17例患者行肝切除，手术均顺利，术后肝功能恢复良好，无明显并发症。结论进行术前评估和指导临床手术，符合肝脏解剖与生理特点，对精准肝切除有重要的指导作用。
목적：간암삼유중건재정준간절제술중적응용개치。방법채집17례행간점위병변절제환자적간장CT(2D)소묘수거，이용3D도상처리연건Myrian행간종류、간장、간내맥관삼유중건，술전모의간절제，이차지도정준간절제。결과성공진행료간장、종류화간내혈관적삼유중건、허의간절제、잔간체적측정，술전규화。병거차진행료림상치료。17례환자행간절제，수술균순리，술후간공능회복량호，무명현병발증。결론진행술전평고화지도림상수술，부합간장해부여생리특점，대정준간절제유중요적지도작용。
Objective??To?investigate?value?on?application?of?three-dimensional?model?of?liver?cancer?in?precise?hepatectomy.?Methods??Two-dimentional?(2D)?CT?image?data?of?the?live?were?obtained?from?17?patients?for?whom?hepatectomies?were?planed,?based?on?these?data,?the?liver,?tumor?and?and?intrahepatic?vessels?were?reconstructed?in?3D?using?the?software?Myrian,?hepatectomy?simulationg?were?conducted?subsequently?to?guide?the?planning?of?hepatectomies.?Result??The?liver?parenchyma,?tumor,?intrahepatic?vessels?were?reconstructed?in?3D?models?and?then?hepatectomy?simulation?were?conducted?successfully.?In?the?17?cases?we?performed?hepatectomy?successfully.?All?of?which?recovered?very?well?without?severe?complication.?Conclusion??The?3D?reconstruction?of?liver beneifts a lot to preoperative assessment, and have important signiifcance in precise hepatectomy for liver cancer.