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体全息图像引导胸腔镜手术:对动脉异常的食管癌患者可能有用。

Holographic image-guided thoracoscopic surgery: possibility of usefulness for esophageal cancer patients with abnormal artery.

机构信息

Department of Surgical Oncology, Gifu Graduate School of Medicine, 1-1 Yanagido, Gifu City, 501-1194, Japan.

Innovation Lab, Teikyo University Okinaga Research Institute, Tokyo, Japan.

出版信息

Esophagus. 2020 Oct;17(4):508-511. doi: 10.1007/s10388-020-00737-6. Epub 2020 Apr 3.

DOI:10.1007/s10388-020-00737-6
PMID:32246296
Abstract

BACKGROUND

With the recent improvement of medical image analysis technology, three-dimensional (3D) holograms technology is beginning to be used as intraoperative image support.

CASE PRESENTATION

We used a wearable holographic computer during thoracoscopic esophagectomy in a 70-year-old man with esophageal cancer. During lymph node dissection around the right recurrent laryngeal nerve, abnormal blood vessels were observed beside the right subclavian artery (RSA). As a result of confirming the anatomical variation of the right vertebral artery (RVA) using the 3D holograms, it was possible to understand that the RVA branched from a low position on the RSA.

CONCLUSIONS

Holographic image-guided thoracoscopic esophagectomy using wearable holographic computer provided better spatial recognition of vascular variation and safe lymph node dissection.

摘要

背景

随着医学影像分析技术的最新进展,三维(3D)全息技术开始被用作术中图像支持。

病例介绍

我们在一名 70 岁患有食管癌的男性患者的胸腔镜食管切除术中使用了可穿戴式全息计算机。在右侧喉返神经周围淋巴结清扫过程中,在右锁骨下动脉(RSA)旁边观察到异常血管。通过使用 3D 全息图确认右侧椎动脉(RVA)的解剖变异,我们可以理解 RVA 从 RSA 的低位分支。

结论

使用可穿戴式全息计算机的全息图像引导胸腔镜食管切除术提供了对血管变异的更好的空间识别和安全的淋巴结清扫。

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