中国实用外科杂志

中国实用外科杂志

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三维可视化技术在腹膜后肿瘤切除术中应用研究

卢家俊，施云涛，史向军，黄新余，郑    起，袁    周   

  1. 上海交通大学附属第六人民医院普外科，上海200233
  • 出版日期:2019-09-01 发布日期:2019-09-12

  • Online:2019-09-01 Published:2019-09-12

摘要：

目的    探讨三维可视化技术在腹膜后肿瘤切除术中的应用价值。方法    回顾性分析2014年1月至2018年12月上海交通大学附属第六人民医院普外科行手术治疗的91例腹膜后肿瘤病人资料，应用三维可视化技术观察腹膜后肿瘤与周围组织器官、血管的关系，详细评估肿瘤的可切除性，指导制定手术方案。结果    平均手术时间178 min，平均术中出血543 mL，肿瘤平均直径12.8 cm。9例（9.9%）发生术后并发症，1例因原有疾病死亡，82例病人术后病理学检查包膜完整，达到肿瘤的完整切除，完整切除率为90%。结论    在后腹膜肿瘤切除术前的应用三维可视化技术可以提高术前评估的准确性，指导个体化精准手术方案的制订，使病人能获得更好的手术疗效。

关键词: 三维可视化, 腹膜后肿瘤, 精准外科手术

Abstract:

Application of three-dimensional visualization technique in the resection of retroperitoneal tumor        LU Jia-jun, SHI Yun-tao, SHI Xiang-jun, et al. Department of General Surgery, Affiliated Sixth People’s Hospital of Shanghai Jiao Tong University, Shanghai 200233, China
Corresponding author：YUAN Zhou，E-mail：zhouyuan669@163.com
Abstract    Objective    To explore the clinical value of three-dimensional visualization technology in the resection of retroperitoneal tumor. Methods    A retrospective analysis was performed on 91 patients with retroperitoneal tumor who underwent surgical resection in Department of General Surgery, Affiliated Sixth People’s Hospital of Shanghai Jiao Tong University from January 2014 to December 2018.The three-dimensional visualization technology was used to observe the relationship between retroperitoneal tumors and surrounding tissues and blood vessels，to assess the resectability of the tumor and guide the development of the surgical plan. Results    The median operation time was 178 minutes，the median blood loss was 543 mL，and the average tumor size was 12.8 cm. Nine cases （9.9%） were with postoperative complications and 1 died of seizures，82 patients with pathological examination of tumor capsule integrity，and the rate of complete resection is 90%. Conclusion    Preoperative application of three-dimensional visualization technique in the resection of retroperitoneal tumor can improve preoperative assessment accuracy and guide the formulation of individualized precision surgical procedures，meanwhile，to enable patients to achieve better surgical results.

Key words: three-dimensional visualization, retroperitoneal tumor, precision surgery