Zhang Jun, Dawa Jinmei, Suolang Duojie, Lei Yanming, Wang Jiayun, Basang Dunzhu
Department of General Surgery, Peking University First Hospital, Beijing, China.
Department of General Surgery, People's Hospital of Tibet Autonomous Region, Lhasa, China.
Front Surg. 2021 Aug 19;8:715005. doi: 10.3389/fsurg.2021.715005. eCollection 2021.
The present study aims to explore the application value of three-dimensional (3D) reconstruction technology in the preoperative evaluation of patients with complicated hepatic echinococcosis in Tibet. A total of 200 patients with complicated hepatic echinococcosis, admitted to our hospital between May 2019 and December 2020, who underwent radical hepatectomy, were enrolled in the present study. The patients were randomly divided into a preoperative computer tomography group and a preoperative 3D reconstruction group. According to the imaging results, a surgical plan was formulated. A comparison was made between the two groups of the coincidence rate of the surgical plan and intraoperative and postoperative complications. The patients with hepatic echinococcosis who underwent 3D visualization reconstruction before surgery had a high compliance rate with the surgical plans and the operating time, the number of cases with blood flow blockage, the blood flow blockage time, intraoperative hemorrhage, and postoperative biliary fistulas were significantly lower. The application of preoperative 3D visualization reconstruction in patients with complicated hepatic echinococcosis in Tibet could effectively improve surgical safety.
本研究旨在探讨三维（3D）重建技术在西藏复杂肝包虫病患者术前评估中的应用价值。选取2019年5月至2020年12月期间在我院接受根治性肝切除术的200例复杂肝包虫病患者纳入本研究。将患者随机分为术前计算机断层扫描组和术前3D重建组。根据影像学结果制定手术方案。比较两组手术方案的符合率以及术中、术后并发症情况。术前进行3D可视化重建的肝包虫病患者对手术方案的依从率较高，且手术时间、血流阻断病例数、血流阻断时间、术中出血及术后胆瘘情况均显著更低。术前3D可视化重建在西藏复杂肝包虫病患者中的应用可有效提高手术安全性。
