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3D重建技术对肝脏手术手术操作路径改变的影响：一例报告。

The impact of 3D reconstruction technology on liver surgery in changing the pathway of surgical maneuvers: A case report.

作者信息

Zanframundo C, Gjoni E, Germini A, Paleino S, Granieri S, Cotsoglou C

机构信息

ASST-Brianza, Vimercate Hospital, General Surgery Unit, Via Santi Cosma e Damiano 10, 20871 Vimercate, Italy.

ASST-Brianza, Vimercate Hospital, General Surgery Unit, Via Santi Cosma e Damiano 10, 20871 Vimercate, Italy.

出版信息

Int J Surg Case Rep. 2024 Jul;120:109886. doi: 10.1016/j.ijscr.2024.109886. Epub 2024 Jun 14.

DOI:10.1016/j.ijscr.2024.109886
PMID:38878731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11228558/
Abstract

INTRODUCTION

This case report illustrates the significant role that 3D technology can play in major hepatic surgery, aiding in the determination of the optimal surgical approach.

CASE PRESENTATION

We present the case of a patient with metachronous liver metastasis from rectal cancer involving segments 6 and 7, extending to retroperitoneal structures such as the inferior vena cava (IVC) and the right renal vein (RRV).

DISCUSSION

After confirming the feasibility of a right hepatectomy, we opted for a traditional posterior approach, avoiding the hanging maneuver. The 3D rendering was instrumental in this decision, revealing that the mass was in close proximity to the IVC at the 11 o'clock position, a critical area for surgical instruments during the hanging maneuver.

CONCLUSION

When 2D imaging fails to provide sufficient information, 3D rendering can substantially aid the decision-making process.

摘要

引言

本病例报告说明了3D技术在肝脏大手术中可发挥的重要作用，有助于确定最佳手术入路。

病例介绍

我们报告一例直肠癌异时性肝转移患者的病例，肿瘤累及肝段6和7，并延伸至腹膜后结构，如下腔静脉（IVC）和右肾静脉（RRV）。

讨论

在确认右半肝切除术可行后，我们选择了传统的后路入路，避免了悬吊操作。3D重建在这一决策中起到了重要作用，显示肿块位于11点钟位置，紧邻下腔静脉，这是悬吊操作中手术器械的关键区域。

结论

当二维成像无法提供足够信息时，3D重建可极大地辅助决策过程。

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