Aoki Takeshi, Tashiro Yoshihiko, Koizumi Tomotake, Kusano Tomokazu, Matsuda Kazuhiro, Yamada Kosuke, Nogaki Koji, Hakozaki Tomoki, Wada Yusuke, Shibata Hideki, Tomioka Kodai, Hirai Takahito, Goto Satoru, Yamazaki Kimiyasu, Fujimori Akira, Otsuka Koji, Enami Yuta, Murakami Masahiko
Division of Gastroenterological and General Surgery, Dept. of Surgery, Showa University.
Gan To Kagaku Ryoho. 2018 Aug;45(8):1133-1138.
Hepatobiliary and pancreatic surgery is recognized as technically demanding due to the complicated local anatomy and diverse anatomical variation that require precise techniques. Therefore, preoperative simulation to understand the detailed local anatomy and intraoperative navigation methods for surgical guidance are needed. Intraoperative navigation for anatomical hepatectomy originated with dye injection into the dominant portal pedicle under intraoperative ultrasound guidance to identify hepatic segments, which was reported by Makuuchi et al in 1985. In recent years, with advancing medical technology, newer medical devices that promote the safety and reliability of various surgical procedures have been developed. In this article, we will discuss the current state and future prospects of intraoperative navigation in hepatobiliary and pancreatic surgery.
由于局部解剖结构复杂且解剖变异多样，需要精确的技术，肝胆胰手术被认为技术要求很高。因此，需要进行术前模拟以了解详细的局部解剖结构，并采用术中导航方法进行手术指导。解剖性肝切除术的术中导航起源于1985年幕内等报道的在术中超声引导下向主要门静脉分支注射染料以识别肝段。近年来，随着医学技术的进步，已开发出能提高各种手术安全性和可靠性的新型医疗设备。在本文中，我们将讨论肝胆胰手术术中导航的现状和未来前景。
