Application of a three-dimensional surgery simulation system in patients with liver cancer who underwent extended liver resections: experience in 35 patients
10.3760/cma.j.issn.1007-8118.2015.03.002
- VernacularTitle:三维手术模拟系统在肝癌患者极量肝切除术中的应用:35例报告
- Author:
Zhenshuang DU
;
Qian HE
;
Jianquan LIN
;
Yijie CHEN
;
Weibin ZHUANG
;
Chenghua ZHANG
- Publication Type:Journal Article
- Keywords:
3 dimensional surgery simulation system;
Liver resection;
Cancer of the liver;
Simulation of liver resection;
Preoperative evaluation
- From:
Chinese Journal of Hepatobiliary Surgery
2015;21(3):152-155
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of a three-dimensional simulation system in extended liver resections.Methods A three-dimensional surgical simulation system was used for preoperative assessment and for computer simulation to estimate the resected liver volume,the residual liver volume,and the surgical resection margins.The software virtual liver resection was used to choose the most optimal surgical option.The actual resection,the postoperative liver volume and the actual surgical resection margins were compared.Results 1 patient was diagnosed by ultrasound to develop ascites on post-operative day 2.Another patient was diagnosed by transthoracic ultrasound to have moderate pleural effusion on postoperative day 1.Postoperative liver failure developed in 1 patient.There was no patient who developed bile leakage.The average length of stay was 6 ～ 85 days (average 22 d).There was no recurrence within 1 month after surgery and there was no postoperative deaths.Condusions The three-dimensional surgery simulation system was effective.It gave an accurate evaluation and simulation of the liver surgery.In extended liver resection,it gave good guidance and help.
