肝细胞癌患者的术中超声：从日常实践到未来趋势
Intraoperative ultrasound in patients with hepatocellular carcinoma: from daily practice to future trends.
作者信息
Donadon Matteo, Torzilli Guido
机构信息
Liver Surgery Unit, Department of General Surgery, University of Milan School of Medicine, Humanitas Cancer Center, Rozzano, Italy.
出版信息
Liver Cancer. 2013 Jan;2(1):16-24. doi: 10.1159/000346421.
Abstract
Starting from the end of the 1970s, intraoperative ultrasound was introduced and developed to stage liver disease and guide the surgical interventions in patients with hepatocellular carcinoma. Without intraoperative ultrasound, it would probably be impossible to correctly define the hepatic segments as well as the limits of a tumor, also because of the existing wide variations in the anatomy. More importantly, intraoperative ultrasound allows for three-dimensional reconstruction of the relationships between the tumor, hepatic veins, and Glissonian pedicles. Such reconstruction is essential for planning the surgical strategy, which should be individualized in each patient with the aim to spare functional liver parenchyma. This work focuses on the role of intraoperative ultrasound to stage liver disease and to plan surgical resection, describing the most recent technical achievements.
摘要
从20世纪70年代末开始，术中超声被引入并发展，用于对肝脏疾病进行分期，并指导肝细胞癌患者的手术干预。如果没有术中超声，可能无法正确界定肝段以及肿瘤的边界，这也是由于解剖结构存在广泛差异所致。更重要的是，术中超声能够对肿瘤、肝静脉和肝门蒂之间的关系进行三维重建。这种重建对于制定手术策略至关重要，手术策略应针对每位患者进行个体化设计，目的是保留功能性肝实质。本文着重介绍术中超声在肝脏疾病分期及手术切除规划中的作用，并描述最新的技术成果。
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