术中实时成像引导的腹腔镜肝切除术

Peng Lu, Hongguang Wang
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引用次数: 0

摘要

近年来,腹腔镜肝切除术发展迅速,但这种手术方式给外科医生带来了新的挑战。采用术中实时成像引导技术,可以有效解决腹腔镜手术的缺点。腹腔镜超声可以发现和诊断病变的性质,标记重要的管道结构,确定切口,指导穿刺。ICG荧光成像可用于术中病变的识别、定位、表征、特定肝段的标记及术后胆漏的预防。这两种技术是目前腹腔镜肝切除术中仅有的两种实时成像引导技术,真正弥补了腹腔镜肝手术无法触诊、探查暴露受限等缺点。关键词:腹腔镜;肝切除术;手术导航下
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Intraoperative real-time imaging-guided laparoscopic liver resection
In recent years, laparoscopic hepatectomy has developed rapidly, but new challenges are posed to surgeons because of this surgical approach. The disadvantages of laparoscopic surgery can be effectively solved by using intraoperative real-time imaging guidance technology. Laparoscopic ultrasound can be used to discover and diagnose the nature of lesions, mark the important pipeline structure, determine the cutting edge, and guide puncture. ICG fluorescence imaging can be applied to the identification, localization, characterization of intraoperative lesions, the marking of specific liver segments and the prevention of postoperative bile leakage. These two technologies are the only two real-time imaging guidance technologies in laparoscopic hepatectomy at present, which truly make up for the shortcomings of laparoscopic liver surgery such as the inability to palpate and limited exploration exposure. Key words: Laparoscopy; Hepatectomy; Surgery, image-guided
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来源期刊
中国医师杂志
中国医师杂志 Medicine-Medicine (all)
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0.10
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20937
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