多模态影像融合导航在肝切除治疗复杂泡型肝包虫病中的初步应用

Multimodality navigation for liver resection of complicated alveolar echinococcosis

目的:探讨多模态影像融合导航肝切除治疗复杂性泡型肝包虫病的临床应用。方法:回顾性分析2019年10月至2020年2月,解放军总医院第一医学中心肝胆外二科通过术前肝脏三维重建,联合术中实时多影像融合介入导航系统,实时引导肝实质离断平面行肝切除术治疗的复杂泡型肝包虫病6例患者的临床资料。结果:6例患者均顺利完成根治性在体肝切除手术,无围手术期死亡。手术时间为(301±106)min,中位出血量200 ml,2例行术中输血(2/6),术后住院时间(10.8±2.8)d,住院费用(82584±995.61)元。Clavien-DindoⅢ级并发症1例。结论:多模态影像融合导航能精确引导断肝平面,有效辅助复杂泡型肝包虫病肝切除的安全实施。

Objective To investigate the clinical application of multimodality navigation for liver resection in the treatment of complicated alveolar echinococcosis(AE).Methods From October 2019 to February 2020,the clinical data and perioperative results of patients with AE treated by surgery in our department were retrospectively studied.Hepatic parenchyma disconnection plane and liver resection were navigated and performed with three-dimensional reconstruction and HITACHI real-time multi-image fusion interventional navigation system(RVS).Results All of six patients were successful performed radical liver resection without mortality.The operation time was(301±106)min and the median blood loss was 200 ml.Two patients needed blood transfusion intraoperative(33.33%).The postoperative hospital stay was(10.8±2.8)day,and the cost of hospitalization was(82584±995.61)yuan.Clavien-Dindo gradeⅢcomplication occurred in one patient.Conclusions Multimodality navigation might provide precise intraoperative navigation of the surgical plane and effectively assist liver resection for the treatment of complicated AE.