Clinical application of MR 3D visualization in difficult laparoscopic cholecystectomy
10.3969/j.issn.1009-0754.2025.05.013
- VernacularTitle:磁共振三维可视化技术在腹腔镜困难胆囊切除术中的临床应用
- Author:
Zhaocheng CHEN
1
;
Nan ZHUANG
;
Haixuan ZHENG
;
Ruotai CHEN
;
Yixin CHEN
;
Tingjian LI
Author Information
1. 515000 广东 汕头,汕头市第二人民医院
- Keywords:
Magnetic resonance;
Three-dimensional visualization model;
Difficult laparoscopic cholecystectomy;
Surgical index;
Complication risk
- From:
Journal of Navy Medicine
2025;46(5):479-483
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application of three-dimensional magnetic resonance(MR)visualization in difficult laparoscopic cholecystectomy.Methods A total of 100 patients with gallstones who were admitted to the Second People's Hospital of Shantou from January 2022 to December 2023 were selected as research objects.The patients met the criteria of"difficult gallbladder"and were assigned to two groups according to random number table.The control group(n=50)were treated with routine laparoscopic cholecystectomy.In the observation group(n=50),laparoscopic cholecystectomy was assisted by MR 3D visualization model.Surgical indexes,pain within 1 day after surgery,risk of intraoperative trauma,and incidence of postoperative complications were compared between the two groups.Results Surgical indexes and recovery indexes in the observation group were superior to those in the control group(P<0.05).The visual analogue scale(VAS)score within 1 d after operation was significantly lower than that before operation in both groups,and the improvement of VAS score in the observation group was better than that in the control group(P<0.05).The incidence of gallbladder rupture(0.00%vs 10.00%)and liver margin injury(0.00%vs 8.00%)in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(2.00%vs 14.00%,P<0.05).Conclusion The construction of MR 3D visualization model can provide clearer surgical field for laparoscopic cholecystectomy,and enable the operator to clarify the anatomical structure of the gallbladder,avoid surgical trauma,improve the postoperative recovery,alleviate postoperative pain,and reduce the risk of complications.
