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一种广泛适用的基于CAD的内科手术3D导航方法用于肝胆瘤手术.

Ryota Ito^1,2, Atsushi Oba³, Hayato Baba¹

¹Division of Hepatobiliary and Pancreatic Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.

Annals of surgical oncology

|December 17, 2025

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本研究引入了一种使用计算机辅助设计 (CAD) 的新型,低成本的方法,用于肝胰腺胆道 (HPB) 手术中的手术内导航. 与传统图表相比,CAD方法大大减少了创建时间,提高了手术规划和效率.

科学领域:

肝-胰腺-胆道 (HPB) 手术
手术导航手术导航
医疗成像医学成像

背景情况:

精确的解剖学理解在肝胰腺胆道 (HPB) 手术中至关重要.
虽然3D成像有助于术前规划,但缺乏实时的手术内导航系统.
传统的图表是耗时的,缺乏细节.

研究的目的:

为HPB手术开发和评估一种简单,低成本的手术内3D导航方法.
将计算机辅助设计 (CAD) 模型的效率与传统的图表图进行比较.
评估基于CAD的导航的广泛采用和教育价值的潜力.

主要方法:

分析了32例HPB病例 (2025年1月至8月).
从CT数据中使用REVORAS重建3D图像.
使用Procreate创建的图表图和使用Fusion 360和Shapr3D的CAD模型.
测量并比较了两种方法的创建时间.

主要成果:

计算机辅助设计 (CAD) 模型的创建速度明显快 (中位数为7分25秒),而不是方案图 (中位数为19分48秒) (p < 0.01).
通过与达芬奇外科系统集成的平板电脑,CAD模型促进了实时解剖信息的共享.

关键词:

解剖学可视化解剖学可视化在这里,我们可以看到CAD,CAD,CAD.计算机辅助设计是指计算机辅助设计.肝-胰腺-胆道手术.内部操作导航系统中的导航系统.机器人胰腺切除术是一种机器人胰腺切除术.机器人手术是一种机器人手术.进行外科手术教育.三维成像三维成像技术

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手术方法包括胰腺,肝脏和肉瘤切除的开放式,机器人和腹腔镜手术.

结论:

使用计算机辅助设计 (CAD) 的手术内导航是HPB手术的简单,成本高效和时间高效的解决方案.
这种方法显示出在临床实践中广泛采用的巨大潜力.
基于CAD的导航为HPB外科医生提供了显著的教育效益.