Panaro Fabrizio, Habibeh Hussein, Pessaux Patrick, Navarro Francis
Department of General Liver Transplant Surgery, University of Montpellier, Hôpital Saint Eloi, 80 avenue Augustin Fliche 34295, Montpellier-Cedex 5, France.
Department of General Liver Transplant Surgery, University of Montpellier, Hôpital Saint Eloi, 80 avenue Augustin Fliche 34295, Montpellier-Cedex 5, France.
Int J Surg Case Rep. 2015;12:112-6. doi: 10.1016/j.ijscr.2015.05.030. Epub 2015 May 29.
Today, liver surgery navigation is utilized only in high-specialized centers for patients affected by malignant diseases. However, navigated surgery may also be of great interest for benign diseases such as hydatidosis in particular if the hydatid cyst is communicating with the biliary tree. With navigation we know exactly in each moment during the surgery the relationship of the cyst with the vascular/biliary structures around it.
Herein, we report a case of a 20-year-old W/M affected by hepatic hydatid cyst communicating with the right bile duct, causing recurrent cholangitis. The diagnosis was confirmed by endoscopic retrograde cholangiography and magnetic resonance imaging. The liver cystectomy was easily performed using a navigation system incorporating instrument tracking and three-dimensional CT-reconstruction, thus permitting a selective suture of the bile duct communicating with the cyst.
The navigated system may guide the surgeon in patients with severe and complicated hydatid cysts.
如今，肝脏手术导航仅在治疗恶性疾病患者的高度专业化中心使用。然而，导航手术对于诸如包虫病等良性疾病也可能具有重大意义，特别是当包虫囊肿与胆管相通时。借助导航，我们在手术过程中的每一刻都能确切知晓囊肿与其周围血管/胆管结构的关系。
在此，我们报告一例20岁男性患者，患有与右胆管相通的肝包虫囊肿，导致复发性胆管炎。通过内镜逆行胆管造影和磁共振成像确诊。使用结合器械跟踪和三维CT重建的导航系统轻松实施了肝囊肿切除术，从而能够选择性缝合与囊肿相通的胆管。
导航系统可为患有严重复杂包虫囊肿的患者的手术提供指导。
