Zhonghua Wai Ke Za Zhi. 2017 Dec 1;55(12):881-886. doi: 10.3760/cma.j.issn.0529-5815.2017.12.001.
Three-dimensional (3D) visualization technology in pancreatic head cancers could offer decision-making support to preoperative diagnosis, resectability assessment and individualized surgical planning. In addition, the pancreas 3D printing helps to realize the leapfrog development from 3D images to 3D physical models and provides better guidance of the precise surgery of complicated cancers of the pancreatic head. In order to standardize the application of 3D visualization and 3D printing technology in the diagnosis and treatment of pancreatic head cancer, Chinese experts in relevant fields were organized by four committees to formulate this expert consensus. This consensus give the suggestion from ten aspects on the treatment of pancreatic head cancer, such as the preoperative evaluation, acquisition method of CT data, the construction of three-dimensional visualization model, clinical classification of resectability assessment based on the 3D visualization technology, simulation surgery, 3D printing, the guidance with 3D visualization technology on pancreatic cancer surgery, intraoperative examination of resectability assessment, and the other treatment based on 3D visualization technology with pancreatic head cancer. The consensus will give the reference to the doctors who is developing or is going to develop the 3D visualization technology on pancreatic head cancer.
胰头癌的三维(3D)可视化技术可为术前诊断、可切除性评估和个体化手术规划提供决策支持。此外,胰腺3D打印有助于实现从3D图像到3D实体模型的跨越式发展,并为复杂胰头癌的精准手术提供更好的指导。为规范3D可视化和3D打印技术在胰头癌诊治中的应用,四个委员会组织相关领域的中国专家制定了本专家共识。本共识从术前评估、CT数据采集方法、三维可视化模型构建、基于3D可视化技术的可切除性评估临床分类、模拟手术、3D打印、3D可视化技术对胰腺癌手术的指导、术中可切除性评估检查以及基于3D可视化技术的胰头癌其他治疗等十个方面给出了胰头癌治疗的建议。本共识将为正在开展或即将开展胰头癌3D可视化技术的医生提供参考。