多平面 CT 重建可优化肝病变的腹腔镜手术入路。
Multiplanar CT reconstructions allow optimization of the laparoscopic surgical approach for liver lesions.
机构信息
Department of Digestive Surgery, Amiens University Medical Center and Jules Verne University of Picardie, 1 Rue du Professeur Christian Cabrol, F-80054, Amiens Cedex, France.
SSPC UPJV 7518 (Simplifications Des Soins Patients Chirurgicaux Complexes - Simplification of Care of Complex Surgical Patients) Clinical Research Unit, Jules Verne University of Picardie, F-80054, Amiens, France.
出版信息
Langenbecks Arch Surg. 2023 Oct 28;408(1):420. doi: 10.1007/s00423-023-03160-4.
PURPOSE
Resection of hepatic lesions can be difficult and requires careful analysis of pre-operative imaging. The aim of this study is to highlight the use of multiplanar CT reconstruction in liver surgery, which helps to anticipate intra-operative technical difficulties.
METHODS
We retrospectively selected the imaging of several patients managed for liver lesions in specific locations: liver dome (IVa, VIII), the left lobe (intra-parenchymal, left edge), and the antero-inferior edge of segment VI. The IWATE classification was used to grade the difficulty of these resections.
RESULTS
Multiplanar analysis has made it possible to change the level of difficulty of liver resection and to anticipate intra-operative difficulties. Frontal and/or sagittal section in addition to axial sections analysis increased the IWATE score.
CONCLUSION
Multi-planar reconstruction must be a tool used by the liver surgeon pre-operatively in order to limit intra-operative complications.
目的
肝脏病变的切除可能较为困难，需要仔细分析术前影像学检查。本研究旨在强调多平面 CT 重建在肝外科中的应用，有助于预测术中的技术难点。
方法
我们回顾性选择了在特定部位（IVa、VIII 肝顶，左叶（实质内，左缘）和 VI 段前下边缘）管理肝脏病变的几位患者的影像学资料。使用岩手分类法对这些切除术的难度进行分级。
结果
多平面分析改变了肝切除术的难度，并预测了术中的困难。除了轴位分析外，还进行了冠状面和/或矢状面分析，增加了岩手分类法的评分。
结论
多平面重建必须成为肝外科医生术前使用的工具，以限制术中并发症。
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