Chopra S S, Eisele R M, Denecke T, Stockmann M, Lange T, Eulenstein S, Schmidt S C, Neuhaus P
Department of General, Visceral and Transplantation Surgery, Charité Campus Virchw Clinic, University Medicine, Berlin, Germany.
Minerva Chir. 2010 Aug;65(4):463-78.
Technological developments, advances in perioperative medicine and ongoing scientific research have led to reduced rates of mortality and morbidity in patients undergoing major liver surgery. Under these conditions, the frontier of resectability is constantly in movement towards more complex cases with extended tumor spread and potentially minimized remnant liver volume. A promising technique to support oncological correct and safe liver surgery is the introduction of preoperative computer based planning models and intraoperative navigation systems. Whereas three-dimensional (3D) liver models are commercially available and have been clinically implemented, the use of navigation systems is currently under evaluation by different groups using a variety of techniques. This manuscript is meant to give the reader an overview on current developments, difficulties and future aspects of image guided liver surgery.
技术发展、围手术期医学的进步以及持续的科学研究，已使接受大肝手术患者的死亡率和发病率降低。在这些情况下，可切除性的前沿不断朝着肿瘤扩散范围更广且残余肝体积可能最小化的更复杂病例推进。一种支持肿瘤学上正确且安全的肝手术的有前景技术是引入术前基于计算机的规划模型和术中导航系统。虽然三维（3D）肝脏模型已有商业产品并已在临床应用，但导航系统的使用目前正由不同团队采用多种技术进行评估。本文旨在让读者全面了解图像引导肝手术的当前发展、难点及未来方向。
