肝脏手术中的三维重建：系统性综述。

IF 2.7 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Hpb Pub Date : 2024-10-01 DOI:10.1016/j.hpb.2024.06.006

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引用次数: 0

摘要

背景：肝脏三维重建为外科医生在肝脏切除前和切除过程中提供了多项优势。本综述讨论了使用肝脏三维重建背后的因素：方法：根据 PRISMA 标准进行了系统的电子检索。对截至 2023 年 10 月的科学论文进行了文献检索。文章的选择基于肝脏三维重建及其在肝脏手术中的应用。采用 GRADE 方法和修改后的纽卡斯尔-渥太华量表评估研究质量：研究包括 47 篇文章，分析了 7724 名患者。87.2%的研究采用三维肝脏重建进行术前规划。大多数术前三维肝脏重建是在复杂或重大肝切除术的规划中进行的。64.3%的患者接受了复杂肝切除术。55.3%的研究报告称，肝脏切除术中的导航和准确性有所提高。四项关于活体肝移植（LDLT）的研究（8.6%）认为，三维肝脏重建有助于选择移植物和保存血管。九篇论文（19.1%）报告了对未来肝脏残余的精确测量：结论：肝脏三维重建有助于外科医生规划肝脏手术，尤其是肝脏移植和复杂肝脏切除手术，提高手术切除的准确性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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3-D reconstruction in liver surgery: a systematic review

Background

Three-dimensional reconstruction of the liver offers several advantages to the surgeon before and during liver resection. This review discusses the factors behind the use of liver 3-D reconstruction.

Methods

Systematic electronic search, according to PRISMA criteria, was performed. A literature search of scientific papers was performed until October 2023. Articles were chosen based on reference to 3-D liver reconstruction and their use in liver surgery. GRADE methodology and the modified Newcastle–Ottawa scale were used to assess the quality of the studies.

Results

The research included 47 articles and 7724 patients were analyzed.

Preoperative planning was performed with 3-D liver reconstruction in the 87.2% of the studies.

Most of preoperative 3-D liver reconstructions were performed in the planning of complex or major hepatectomies. Complex hepatectomies were performed in 64.3% patients.

The 55.3% of the studies reported an improved navigation and accuracy during liver resection. Four studies (8.6%) on living donor liver transplant (LDLT) concluded that 3-D liver reconstruction is useful for graft selection and vascular preservation. Nine papers (19.1%) reported an accurate measurement of future liver remnant.

Conclusion

Liver 3-D reconstruction helps surgeons in the planning of liver surgery, especially in liver graft and complex liver resections, increasing the accuracy of the surgical resection.

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来源期刊

Hpb GASTROENTEROLOGY & HEPATOLOGY-SURGERY

CiteScore

5.60

自引率

3.40%

发文量

244

审稿时长

57 days

期刊介绍： HPB is an international forum for clinical, scientific and educational communication. Twelve issues a year bring the reader leading articles, expert reviews, original articles, images, editorials, and reader correspondence encompassing all aspects of benign and malignant hepatobiliary disease and its management. HPB features relevant aspects of clinical and translational research and practice. Specific areas of interest include HPB diseases encountered globally by clinical practitioners in this specialist field of gastrointestinal surgery. The journal addresses the challenges faced in the management of cancer involving the liver, biliary system and pancreas. While surgical oncology represents a large part of HPB practice, submission of manuscripts relating to liver and pancreas transplantation, the treatment of benign conditions such as acute and chronic pancreatitis, and those relating to hepatobiliary infection and inflammation are also welcomed. There will be a focus on developing a multidisciplinary approach to diagnosis and treatment with endoscopic and laparoscopic approaches, radiological interventions and surgical techniques being strongly represented. HPB welcomes submission of manuscripts in all these areas and in scientific focused research that has clear clinical relevance to HPB surgical practice. HPB aims to help its readers - surgeons, physicians, radiologists and basic scientists - to develop their knowledge and practice. HPB will be of interest to specialists involved in the management of hepatobiliary and pancreatic disease however will also inform those working in related fields. Abstracted and Indexed in: MEDLINE® EMBASE PubMed Science Citation Index Expanded Academic Search (EBSCO) HPB is owned by the International Hepato-Pancreato-Biliary Association (IHPBA) and is also the official Journal of the American Hepato-Pancreato-Biliary Association (AHPBA), the Asian-Pacific Hepato Pancreatic Biliary Association (A-PHPBA) and the European-African Hepato-Pancreatic Biliary Association (E-AHPBA).