肝体积测量和肝再生干预:历史,理由和新兴工具
Antony Haddad1, Mateo Lendoire1, Harufumi Maki1
1Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States.
概括
肝脏体积测量对于在肝切除术后预测术后肝功能不全 (PHI) 是至关重要的. 影像和再生干预的进步提高了执行更安全的肝脏手术的能力.
科学领域:
- 肝胆道手术 肝胆道手术
- 医疗成像医学成像
- 再生医学是一种再生医学.
背景情况:
- 手术后肝功能不全 (PHI) 是肝切除术后的一个重大风险.
- 未来肝残留量 (FLR) 是识别有PHI风险的患者的关键指标.
研究的目的:
- 审查肝体积测量在预测PHI中的演变和应用.
- 讨论肝脏再生干预和肝脏体积测量的新兴工具.
主要方法:
- 关于MEDLINE/PubMed,Embase 和 Cochrane 图书馆的综合文献评论.
- 交叉引用相关文章以确定其他出版物.
主要成果:
- 肝体积测量,在20世纪80年代开发,识别PHI风险,后来被用于活体供体移植评估.
- 标准化的FLR,高缩和动态增长率成为关键措施.
- 门静脉栓塞和自动体积测量工具正在推进PHI风险评估和手术安全.
结论:
- 肝体积测量是检测有PHI风险的患者最可靠的方法.
- 图像分析,功能测量和再生干预的进步改善了安全的肝切除术结果.
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