基于3D重建的S5和S8之间的区间静脉的研究
Hang Li1, Zili Shao1, Zebing Song1
1Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Guangzhou Medical University, No. 250, Changgang Road, Guangzhou, 510260, China.
概括
肝部第5段和第8段之间的间隔静脉 (IVs) 可以作为肝细胞癌手术的可靠解剖标志. 识别这些静脉和它们与肝血管的接口有助于手术导航和规划.
科学领域:
- 肝胆道手术是肝胆道的手术.
- 手术解剖学的手术解剖学
- 医学成像医学成像
背景情况:
- 解剖切除 (AR) 是肝细胞癌的关键治疗方法.
- 在肝部第5段 (S5) 和第8段 (S8) 之间识别细分间平面是手术上具有挑战性的.
- 这项研究旨在确定分段间静脉 (IVs) 作为S5和S8.8之间的地标.
研究的目的:
- 为了确定肝脏部分5和8之间的可靠的间隔静脉 (IVs).
- 使用3D重建分析可视化这些IVs.
- 建立IVs作为肝细胞癌手术的解剖学里程碑.
主要方法:
- 对57名患者CT扫描的回顾性分析 (2021年9月至2023年1月).
- 门静脉流域和肝静脉的3D重建.
- 分析S5和S8之间的IVs,包括它们的类型和与中肝静脉 (MHVs) 的接口.
主要成果:
- 在75.4%的患者中发现了跨细分静脉 (IV).
- 大多数患者有一个单一的IV加入MHV (81.4%).
- IV-MHV连接主要位于下部的MHV,可以在第二个肝门中点以下识别.
结论:
- 在S5和S8之间的分段间静脉 (IV) 是肝细胞癌AR的潜在解剖标志.
- 对IV-MHV交叉点位置的洞察力有助于外科导航.
- 由于解剖学变异,手术前3D重建和个性化规划至关重要.
关键词:
三维重建的3D重建解剖切除 解剖切除 解剖切除 解剖切除科诺的分类是科诺的分类.肝脏静脉 肝脏静脉 肝脏静脉肝细胞癌是肝细胞癌.跨细分领域的飞机跨细分静脉 (Intersegmental Veins) 是指跨细分静脉 (Intersegmental Veins) 是指跨细分静脉 (Intersegmental Veins) 是指跨细分静脉 (Intersegmental Veins) 是指跨细分静脉 (Intersegmental Veins) 是指跨细分静脉 (Intersegmental Veins) 是指跨细分静脉 (Intersegmental Veins) 是指跨细分静脉 (Intersegmental Veins).腹腔镜切除肝脏切除术 腹腔镜切除肝脏门脉河流域的流域相关概念视频
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