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使用具有柔软透明实质的独特三维打印肝脏模型对活体供肝切除术进行模拟和导航。

Simulation and navigation of living donor hepatectomy using a unique three-dimensional printed liver model with soft and transparent parenchyma.

机构信息

Department of Gastroenterological and Transplant Surgery, Hiroshima University Hospital, 1-2-3, Kasumi, Hiroshima, 734-8551, Japan.

Department of Fixed Prosthodontics, School of Dental Medicine, Tsurumi University, Yokohama, Japan.

出版信息

Surg Today. 2020 Mar;50(3):307-313. doi: 10.1007/s00595-019-01868-9. Epub 2019 Aug 30.

DOI:10.1007/s00595-019-01868-9
PMID:31471747
Abstract

Three-dimensional printed liver models have been used for preoperative simulation. Unlike the standard three-dimensional system on a monitor, the three-dimensional printed model can be observed from any angle manually; therefore, surgeons can obtain a clear image directly from the model. We herein report the use of a unique three-dimensional liver model with a soft and transparent liver parenchyma. Through the parenchyma, the surgeons can observe the intrahepatic vessels and perform incisions in the model as a preoperative simulation. In this study, we applied this model to donor hepatectomy, which under most circumstances requires meticulous attention to detail. The actual processes and uses of a three-dimensional liver model in clinical surgery for liver transplantation are presented.

摘要

三维打印的肝脏模型已被用于术前模拟。与监视器上的标准三维系统不同,三维打印模型可以手动从任何角度进行观察;因此,外科医生可以直接从模型中获得清晰的图像。我们在此报告使用具有柔软透明肝实质的独特三维肝脏模型。通过肝实质,外科医生可以观察肝内血管并在模型上进行切口,作为术前模拟。在本研究中,我们将该模型应用于供肝切除术,这种手术在大多数情况下需要对细节进行细致的关注。本文介绍了三维肝脏模型在肝移植临床手术中的实际应用过程。

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本文引用的文献

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Liver Transpl. 2019 Jun;25(6):831-840. doi: 10.1002/lt.25435. Epub 2019 Apr 9.
2
Application of three-dimensional print in minor hepatectomy following liver partition between anterior and posterior sectors.三维打印在肝前后段分隔后肝部分切除术中的应用
ANZ J Surg. 2018 Sep;88(9):882-885. doi: 10.1111/ans.14331. Epub 2017 Dec 20.
3
3D printing model of the intrahepatic vessels for navigation during anatomical resection of hepatocellular carcinoma.
人工智能增强3D打印与传统模拟在肝胆外科手术中的随机对照比较。
NPJ Digit Med. 2025 Jun 2;8(1):293. doi: 10.1038/s41746-025-01571-9.
4
Construction of reusable fluorescent assembled 3D-printed hydrogen-based models to simulate minimally invasive resection of complex liver cancer.构建可重复使用的荧光组装3D打印氢基模型以模拟复杂肝癌的微创切除。
PLoS One. 2024 Dec 27;19(12):e0316199. doi: 10.1371/journal.pone.0316199. eCollection 2024.
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Training the Next Generation of Transplant Surgeons With a 3-Dimensional Trainer: A Pilot Study.使用三维训练器培养下一代移植外科医生:一项试点研究。
Transplant Direct. 2024 Aug 8;10(9):e1691. doi: 10.1097/TXD.0000000000001691. eCollection 2024 Sep.
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BMC Surg. 2024 May 11;24(1):148. doi: 10.1186/s12893-024-02441-z.
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