Preoperative simulative resection in laparoscopic anatomical hepatectomy
10.3760/cma.j.cn113855-20220321-00184
- VernacularTitle:术前模拟切除在腹腔镜解剖性肝切除术中的应用
- Author:
Jia WU
1
;
Fang HAN
;
Yuhua ZHANG
;
Linwei XU
;
Yizhen CHEN
;
Youyao XU
;
Yurun HUANG
;
Hang JIANG
Author Information
1. 中国科学院大学附属肿瘤医院（浙江省肿瘤医院）肝胆胰外科 中国科学院基础医学 与肿瘤研究所，杭州 310022
- Keywords:
Simulative training;
Imaging,three-dimensional;
Laparoscopes;
Anatomical hepatectomy
- From:
Chinese Journal of General Surgery
2022;37(11):812-816
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To formulate surgical strategies and guide the implementation of laparoscopic anatomical hepatectomy with preoperative simulative resection.Methods:Twenty-two cases of hepatocellular carcinoma undergoing laparoscopic lobe, segment, subsegment and combined segment liver resection following preoperative simulative resection from Sep 2020 to Jan 2022 were enrolled in this study retrospectively.We observed and analyzed the operation time,intraoperative blood loss,postoperative hospital stay and postoperative complication.Results:All patients underwent laparoscopic hepatectomy successfully according to the preoperative simulative resection plan without conversion, some of them adjusted plan according to preoperative simulative resection. The median operation time was 170.0 min, the median intraoperative blood loss was 150.0 ml, the median times of pringle maneuver was done on 4 episodes, and the median postoperative hospital stay was 6.5 days. There were no severe postoperative complications in all cases.Conclusion:Preoperative simulative resection can plan the range of surgical resection accurately by visualizing important anatomical structures,greatly helping the actual surgical hepatectomy.
