Application of three-dimensional visualization technique in total mesopancreas excision(TMp E) for pancreatic head carcinoma
10.19538/j.cjps.issn1005-2208.2019.01.16
- Author:
Hai-bin LIANG
1
;
Wen-guang WU
1
;
Mao-lan LI
1
Author Information
1. Department of General Surgery, XinhuaHospital, Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai Research Center of Biliary Tract Disease, Shanghai Key Laboratory of Biliary Tract Disease Shanghai 200092, China
- Publication Type:Journal Article
- Keywords:
pancreatic head carcinoma;
total mesopancreas excision;
R0 resection;
three-dimensional visualization
- From:
Chinese Journal of Practical Surgery
2019;39(01):92-95
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To evaluate the application of three-dimensional visualization technique in total mesopancreas excision(TMpE) for pancreatic head carcinoma. METHODS: From January 2013 to June 2017, 105 TMpE for pancreatic head carcinoma were performed in our institution, and clinical data of these cases were analyzed retrospectively. In order to evaluate the feasibility of operation, three-dimensional visualization techniques were applied to observe the site and size of the pancreatic head tumors, and the relationship between the tumors and peripancreatic vessels before the operation. RESULTS: The median operation time was 239 minutes, and the median blood loss was 409 mL. 29 cases with postoperative complications and no perioperative deaths. 74 patients were considered as R0 resection in final threedimensional pathologic examination, and the rate of R0 resection is 70.5%. CONCLUSION: Preoperative application of three-dimensional visualization technique in TMpE can improve preoperative assessment accuracy and increase the rate of R0 resection, in addition to reduce postoperative complications.
