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[肝脏手术4.0 - 规划、容积测量、导航与虚拟现实]

[Liver Surgery 4.0 - Planning, Volumetry, Navigation and Virtual Reality].

作者信息

Huber Tobias, Huettl Florentine, Hanke Laura Isabel, Vradelis Lukas, Heinrich Stefan, Hansen Christian, Boedecker Christian, Lang Hauke

机构信息

Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsmedizin Mainz, Mainz, Deutschland.

Fakultät für Informatik, Otto von Guericke Universität Magdeburg, Magdeburg, Deutschland.

出版信息

Zentralbl Chir. 2022 Aug;147(4):361-368. doi: 10.1055/a-1844-0549. Epub 2022 Jul 6.

Abstract

Due to the optimisation of conservative treatment, the improvement of imaging methods and the continuous development of surgical techniques, the borders of resectability in liver surgery have changed significantly in recent decades.Thanks to numerous technical developments, in particular three-dimensional segmentation, preoperative planning and orientation during the operation itself, can now be facilitated, especially in complex procedures.New technologies such as 3D printing as well as virtual and augmented reality offer additional display options for the patients' individual anatomy. Various intraoperative navigation options are intended to make preoperative planning available in the operating room in order to increase patient safety.This review article is intended to provide an overview of the current state of available technologies and an outlook into the operating theatre of the future.

摘要

由于保守治疗的优化、成像方法的改进以及外科技术的不断发展,近几十年来肝脏手术中可切除性的边界发生了显著变化。得益于众多技术发展,尤其是三维分割技术,现在手术中的术前规划和定位变得更加容易,特别是在复杂手术中。3D打印以及虚拟和增强现实等新技术为患者的个体解剖结构提供了额外的显示选项。各种术中导航选项旨在使术前规划在手术室中得以应用,以提高患者安全性。这篇综述文章旨在概述现有技术的当前状态,并展望未来的手术室。

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