中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

CT三维重建在肝胆外科的应用现状

姜超 王海久 任利 阳丹才让 侯立朝 周灜 温浩 樊海宁

引用本文:
Citation:

CT三维重建在肝胆外科的应用现状

DOI: 10.3969/j.issn.1001-5256.2017.02.041
基金项目: 

青海大学中青年科研基金(2014-QYT-1/2013-QYY-4); 青海省科技厅项目(2012-N-536/2016-SF-A5); 

详细信息
  • 中图分类号: R657.3

Application status of three- dimensional CT reconstruction in hepatobiliary surgery

Research funding: 

 

  • 摘要:

    随着影像技术的发展,CT三维重建技术已广泛应用于肝胆外科的临床实践中。CT三维重建能够将二维图像进行分割重建形成三维投影图像,可清晰地显示病灶位置与肝内管道系统之间的关系,对术前评估肝体积,制订诊疗决策,术中精准操作及术后个体化管理等具有重要价值,推进了肝胆外科和微创技术不断发展,在临床应用上显示出了极大的前景。

     

  • [1]FANG CH,CHEN JX.Application of digital medical technology in the diagnosis and treatment of hepatolithiasis[J].Chin J Dig Surg,2012,11(2):104-107.(in Chinese)方驰华,陈建新.数字医学技术在肝胆管结石病诊断和治疗中的应用[J].中华消化外科杂志,2012,11(2):104-107.
    [2]KOC Z,OGUZKURT L,ULUSAN S.Portal vein variations:clinical implications and frequencies in routine abdominal multidetector CT[J].Diagn Interv Radiol,2007,13(2):75-80.
    [3]SCHMIDT S,DEMARTINES N,SOLER L,et al.Portal vein normal anatomy and variants:implication for liver surgery and portal vein embolization[J].Semin Intervent Radiol,2008,25(2):86-91.
    [4]CHEN TJ,TANG YQ,TANG H,et al.3D imaging-guided individualized hepatic vein typing:application to liver tumor resection[J].World Chin J Dig,2013,21(32):3479-3485.(in Chinese)陈铁军,唐云强,唐辉,等.3D技术指导下个体化肝静脉分型及其在肝脏肿瘤切除中的应用[J].世界华人消化杂志,2013,21(32):3479-3485.
    [5]GU Y.The CT 3D reconstructions of short hepatic veins and its application in the hepatectomy[D].Guangzhou:Southern Med Univ,2014.(in Chinese)顾杨.肝短静脉的CT三维重建及其在肝切除术中的应用研究[D].广州:南方医科大学,2014.
    [6]HE YB.Application and related experimental study of digital 3D reconstruction technique forsurgical treatment of hepatic alveolar echinococcosis[D].Urumqi:Xinjiang Med Univ,2015.(in Chinese)何翼彪.数字化三维重建技术在肝泡型包虫病外科治疗中的应用及相关实验研究[D].乌鲁木齐:新疆医科大学,2015.
    [7]FAN YF,XIANG N,CAI W,et al.Three-dimensional visualization technology in preoperative planning of precise hepatectomy[J/CD].Chin J Hepatic Surg:Electronic Edition,2014,3(5):271-275.(in Chinese)范应方,项楠,蔡伟,等.三维可视化技术在精准肝切除术前规划中的应用[J/CD].中华肝脏外科手术学电子杂志,2014,3(5):271-275.
    [8]SU L,DONG Q,ZHANG H,et al.Clinical application of a three-dimensional imaging technique in infants and young children with complex liver tumors[J].Pediatr Surg Int,2016,32(4):1-9.
    [9]XIANG N,FANG CH,FAN YF,et al.Applications of three-dimensional visualization technology in individualized diagnosis and treatment oh hepatic hemangioma[J].J Pract Med,2014,30(20):3299-3301.(in Chinese)项楠,方驰华,范应方,等.三维可视化技术在肝血管瘤个体化诊治中的应用研究[J].实用医学杂志,2014,30(20):3299-3301.
    [10]HU ZG,HUANG PB,LI WB,et al.Application of three-dimensional visualization technology in associating liver partition and portal vein;ligation for staged hepatectomy[J/CD].Chin J Hepatic Surg:Electronic Edition,2016,5(2):86-90.(in Chinese)胡志刚,黄拼搏,李文滨,等.三维可视化技术在联合肝脏离断和门静脉结扎的分阶段肝切除术中的应用[J/CD].中华肝脏外科手术学电子杂志,2016,5(2):86-90.
    [11]SOUBRANE O,PERDIGAO CF,SCATTO O.Pure laparoscopic right hepatectomy in a living donor[J].Am J Transplant,2013,13(9):2467-2471.
    [12]ZHANG YX.Three-dimensional reconstruction of individual hepatic and portal veins systemin liver surgery[D].Guangzhou:Southern Med Univ,2013.(in Chinese)张永祥.个体化肝静脉、门静脉三维重建在肝脏外科中的应用[D].广州:南方医科大学,2013.
    [13]DAI X,XU K,CHENG Y,et al.Impact of three-dimensional CTangiography on surgical hepatic hilar vessel reconstruction planning for hepatic transplantation[J].Chin J Radiol,2005,39(11):1176-1180.(in Chinese)戴旭,徐克,程颖,等.肝动脉及门静脉三维CT血管造影在肝移植肝门血管重建中的意义[J].中华放射学杂志,2005,39(11):1176-1180.
    [14]ZHANG MG,HUANG XJ,XING DW,et al.CT measurement of the spleen in adult[J].Chin Imag J Integr Tradit Western Med,2007,5(2):87-89.(in Chinese)张闽光,黄学菁,邢东炜,等.正常成人脾脏大小的CT测量[J].中国中西医结合影像学杂志,2007,5(2):87-89.
    [15] WANG X.A preliminary study of 64-slice spiral CT for measuring liver and spleen volumes[D].Beijing:Peking Union Medical College,2010.(in Chinese)王萱.64层螺旋CT对肝脾体积的初步研究[D].北京:中国协和医科大学,2010.
    [16]TANG D,KUANG M,LIANG LJ,et al.Application of 64-slice computed tomography and software-assisted image analysis in preoperative evaluation and surgical planning of hilar cholangiocarcinoma[J]Chin J Dig Surg,2010,9(3):186-189.(in Chinese)汤地,匡铭,梁力建,等.64排CT检查及软件辅助系统在肝门部胆管癌术前评估和手术规划中的应用[J].中华消化外科杂志,2010,9(3):186-189.
    [17]WEN TF,CHEN ZY,YAN LN,et al.Measures for increasing the safety of donors in living donor liver transplantation using right lobe grafts[J].Hepatobiliary Pancreat Dis Int,2008,6(6):590-595.
    [18]TUCKER ON,HEATON N.The small for size liver syndrome[J].Curr Opin Crit Care,2005,11(2):150.
    [19]WEN H,DONG JH,ZHANG JH,et al.Ex-vivo liver resection combined liver autotransplantation for the treatment of hepatic alveolar echinococcosis[J].Chin J Dig Surg,2011,10(2):148-149.(in Chinese)温浩,董家鸿,张金辉,等.体外肝切除联合自体肝移植治疗肝泡型包虫病[J].中华消化外科杂志,2011,10(2):148-149.
    [20]SAMSTEIN B,CHERQUI D,ROTELLAR F,et al.Totally laparoscopic full left hepatectomy for living donor liver transplantation in adolescents and adults[J].Am J Transplant,2013,13(9):2462-2466.
    [21]JIANG WT,WANG HH,GUO QJ.Current status of adult living donor liver transplantation[J].J Clin Hepatol,2015,31(12):2023-2026.(in Chinese)蒋文涛,王洪海,郭庆军.成人活体肝移植的现状[J].临床肝胆病杂志,2015,31(12):2023-2026.
    [22]FANG CH,LU ZM,HUANG YP,et al.Value of virtual surgery in arterial reconstruction in liver recipients with typeⅡhepatic artery variation[J].J South Med Univ,2009,29(1):16-19.(in Chinese)方驰华,鲁朝敏,黄燕鹏,等.仿真手术在肝移植2型肝动脉变异动脉重建中的应用价值[J].南方医科大学学报,2009,29(1):16-19.
    [23]MENG XF,DUAN WD,WANG XD,et al.The research of the relationship between perihilarportal vein anatomical variations and biliary tract variations bythe computed 3D reconstruction[J].Chin JClin Anat,2016,34(2):155-159.(in Chinese)孟翔飞,段伟东,王学栋,等.计算机3D技术研究围肝门部门静脉变异者胆管变异率[J].中国临床解剖学杂志,2016,34(2):155-159.
    [24]CHENG HY,JIA YC,WANG PJ,et al.Radiology of hepatobiliary diseases[M].Shanghai:Shanghai Science and Technology Press,2005:539-541.(in Chinese)程红岩,贾雨辰,王培军,等.肝胆疾病影像学[M].上海:上海科学技术出版社,2005:539-541.
    [25] FAN YF,XIANG N,FANG CH.Application of digitalized minimally invasive technique in treatment of hepatolithiasis based on MI-3DVS[J].J South Med Univ,2011,31(10):1669-1674.(in Chinese)范应方,项楠,方驰华.基于MI-3DVS的数字化微创技术在肝胆管结石诊治中的应用[J].南方医科大学学报,2011,31(10):1669-1674.
    [26]FANG CH,YANG J,FAN YF,et al.The research of virtual hepatectomy[J].Chin J Surg,2007,45(11):753-755.(in Chinese)方驰华,杨剑,范应方,等.肝脏仿真手术的研究[J].中华外科杂志,2007,45(11):753-755.
    [27]FAN WP,ZHAO Q,ZHAO MF,et al.Application of multi-slice spiral CT three-dimensional reconstruction in extrahepatic bile duct stones[J].J Clin Exp Med,2006,5(5):582-583.(in Chinese)范维鹏,杨庆,赵明芳,等.多层螺旋CT(MSCT)三维重建技术在肝外胆管结石疾病的应用[J].临床和实验医学杂志,2006,5(5):582-583.
    [28]ZHANG ZM.Present status and prospect of fundamental research of biliary tract surgery[J].Clin J Curr Adv Gen Surg,2007,10(2):96-100.(in Chinese)张宗明.胆道外科基础研究的现状与方向[J].中国现代普通外科进展,2007,10(2):96-100.
    [29] HUANG ZQ.Operative surgery of the biliary tract[M].Beijing:The people's Liberation Army Press,1991:178.(in Chinese)黄志强.胆道外科手术学[M].北京:解放军出版社,1991:178.
    [30]YANG J,FANG CH,FAN YF,et al.Construction of a three-dimensional visualization model of arteries supplying the extrahepatic bile duct based on submillimeter CT data[J].J South Med Univ,2014,34(7):945-949.(in Chinese)杨剑,方驰华,范应方,等.基于亚毫米CT扫描数据的肝外胆管供血动脉三维可视化模型构建[J].南方医科大学学报,2014,34(7):945-949.
    [31]ALJIFFRY M,WALSH M J,MOLINARI M.Advances in diagnosis,treatment and palliation of cholangiocarcinoma:1990-2009[J].World J Gastroenterol,2009,15(34):4240-4262.
    [32]NAGINO M,EBATA T,YOKOYAMA Y,et al.Evolution of surgical treatment for perihilar cholangiocarcinoma:a single-center 34-year review of 574 consecutive resections[J].Ann Surg,2013,258(1):129-140.
    [33]SASAKI R,KONDO T,ODA T,et al.Impact of three-dimensional analysis of multidetector row computed tomography cholangioportography in operative planning for hilar cholangiocarcinoma[J].Am J Surg,2011,202(4):441-448.
    [34]TANG D,LIANG LJ,LI DM,et al.64-slice spiral CT 3-D angiography(CTA)and 3-D positive contrast CT cholangiography in the preoperative evaluation of patients with hilar cholangiocarcinoma[J].Chin J Pract Surg,2007,27(5):385-388.(in Chinese)汤地,梁力建,黎东明,等.64排CT胆道和血管三维重建用于肝门部胆管癌术前评估的研究[J].中国实用外科杂志,2007,27(5):385-388.
    [35]ENDO I,SHIMADA H,SUGITA M,et al.Role of three-dimensional imaging in operative planning for hilar cholangiocarcinoma.[J].Surgery,2007,142(5):666-675.
    [36]OKUDA Y,TAURA K,SEO S,et al.Usefulness of operative planning based on 3-dimensional CT cholangiography for biliary malignancies[J].Surgery,2015,158(5):1261-1271.
    [37]FANG CH,XIANG N.Application of digitalized minimally invasive technique in treatment of hepatopancreatobiliary surgery[J].Chin JMin Inv Surg,2011,11(1):15-19.(in Chinese)方驰华,项楠.数字化微创技术在肝胆胰外科的应用[J].中国微创外科杂志,2011,11(1):15-19.
  • 加载中
计量
  • 文章访问数:  2179
  • HTML全文浏览量:  67
  • PDF下载量:  466
  • 被引次数: 0
出版历程
  • 收稿日期:  2016-11-08
  • 出版日期:  2017-02-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回