[使用外科辅助CT结肠镜进行腹腔镜接近性西格结肠癌手术]
Kazuo Narushima1, Toru Tonooka, Hiroaki Soda
1Dept. of Esophageal-Gastrointestinal Surgery Chiba Cancer Center.
Gan to kagaku ryoho. Cancer & chemotherapy
|April 7, 2025
概括
手术辅助CT结肠镜 (CTC) 通过准确的血管和介肠规划,有助于腹腔镜手术治疗近接性西格结肠癌. 这种先进的成像技术促进了安全有效的手术,没有术后并发症.
科学领域:
- 手术瘤学手术瘤学
- 医疗成像医学成像
- 胃肠病学 胃肠病学
背景情况:
- 术前对血管解剖学的理解对于靠近的西格形结肠癌的安全腹腔镜手术至关重要.
- 保存远端的西格结肠和管理中需要详细的血管洞察力.
研究的目的:
- 报告手术辅助CT结肠镜 (CTC) 在腹腔镜近接性西格结肠癌手术的情况下的实用性.
- 展示创建和应用CTC和3D-CT联合血管模型用于外科导航.
主要方法:
- 一名患有近端西格体结肠癌的患者在手术前接受了对比度增强的CTC.
- 使用SYNAPSE VINCENT软件将3D-CT图像 (动脉和静脉) 与CTC数据集成,以创建一个手术辅助的CTC模型.
- 该模型用于手术前模拟D3淋巴结解剖和肠切除术/半肠切除术规划.
主要成果:
- 手术辅助的CTC为计划的D3淋巴结解剖提供了导航,重点关注特定的西格肠动脉和静脉.
- 该手术使用CTC模型作为指南成功进行,总手术时间为197分钟,输血量为30g.
- 患者没有经历术后并发症,在第8天出院,在9个月后没有出现复发.
结论:
- 复杂的手术辅助CTC是 laparoscopic近接sigmoid结肠癌手术的一个有价值的工具.
- 这种技术增强了手术前规划和手术内导航,有助于成功的外科手术结果.
更多相关视频
10:31Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
12.7K
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
5.5K
相关概念视频
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
32
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
32
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
35
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
35
01:25Endoscopic Procedures II: Colonoscopy
38
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
38
01:21Inflammatory Bowel Disease V: Surgical Management
70
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
70