Laparoscopic ultrasound combined with CT three-dimensional reconstruction for guiding laparoscopic hepatectomy
10.13929/j.issn.1003-3289.2024.02.003
- VernacularTitle:腹腔镜超声联合CT三维重建引导腹腔镜肝切除术
- Author:
Danpu WANG
1
;
Rong HE
;
Zhe JIA
;
Mixue WANG
;
Nan HE
;
Meng ZHANG
;
Yao ZHANG
Author Information
1. 首都医科大学附属北京地坛医院普外,北京 100015
- Keywords:
carcinoma,hepatocellular;
laparoscopes;
hepatectomy;
ultrasonography,interventional;
tomography,X-ray computed;
imaging,three-dimensional
- From:
Chinese Journal of Medical Imaging Technology
2024;40(2):172-176
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of laparoscopic ultrasound(LUS)combined with CT three-dimensional reconstruction for guiding laparoscopic hepatectomy(LH).Methods Data of 78 hepatocellular carcinoma(HCC)patients who underwent LH were retrospectively analyzed.The patients were divided into observation group(n=46)or control group(n=32)based on whether underwent preoperative CT three-dimensional reconstruction and LUS.Clinical data,perioperative data and prognosis were compared between groups.Results No significant difference of clinical data was found(all P＞0.05),whereas significant differences of tumor body mainly location,resection method,tumor resection margin,surgical operation time,intraoperative blood loss,postoperative hospital stay,postoperative complication grading and incidence were found between groups(all P＜0.05).During follow-up period,15 patients died in observation group and 14 died in control group.Significant difference of disease-free survival rate was detected between groups(x2=4.210,P=0.040).Conclusion LUS combined with CT three-dimensional reconstruction for guiding LH could reduce intraoperative injury and complication incidence,improving disease-free survival rate of HCC patients.
