计算机辅助手术系统在小儿外科临床中的应用及意义

APPLICATION AND SIGNIFICANCE OF COMPUTER-ASSISTED SURGERY SYSTEM IN PEDIATRIC SURGICAL DISEASES

目的探讨Hisense计算机辅助手术系统(CAS)在小儿外科疾病手术治疗中的应用价值。方法回顾性分析2016年3月-2022年10月于本院小儿外科行手术治疗患儿的临床资料,所收集的病例术前均采用Hisense CAS对病灶及周围组织进行三维重建,分别分析胸部、腹部及盆腔疾病三维重建图像、病灶模拟手术切除体积、患儿手术可行性及随访结果等,探讨Hisense CAS在小儿外科疾病手术治疗中的应用及意义。结果经Hisense CAS三维重建后可清晰显示病灶周围脉管走行和分支情况,可从任意角度观察病灶与其周围脉管结构的空间解剖关系,准确对病变进行定位和评估。本研究中323例患儿术前进行了三维重建,重建例次达372例次,全部患儿均按术前模拟手术设计方案顺利进行了手术。323例患儿术后有287例进行了随访,36例失访,随访时间为9(2,16)个月。286例患儿均无明显术后并发症,生存良好;1例肾母细胞瘤患儿术后出现肠梗阻,二次手术后患儿恢复良好。结论Hisense CAS能够对肝肾等实质器官肿瘤进行准确术前评估,并辅助设计最优手术方案,使小儿外科手术更加精准、安全及有效,对外科手术精准实施具有重要指导意义。

Objective To investigate the value of Hisense computer-assisted surgery(CAS)system in the surgical treatment of pediatric surgical diseases.Methods A retrospective analysis was performed for the clinical data of children who underwent surgical treatment in Department of Pediatric Surgery in our hospital from March 2016 to October 2022.Hisense CAS was used for three-dimensional reconstruction of lesions and surrounding tissue for all children before surgery,and the application and significance of Hisense CAS in the surgical treatment of pediatric surgical diseases were discussed by analyzing the 3D reconstructed images of thoracic,abdominal,and pelvic diseases,the simulated surgical resection volume of lesions,the feasibility of surgery in children,and follow-up results.Results After 3D reconstruction using Hisense CAS,the images clearly displayed the shape and branches of vessels around lesions,and the spatial anatomic relationship between the lesion and its surrounding vessels could be observed from any angle,thereby helping with the accurate localization and assessment of lesions.In this study,three-dimensional reconstruction was performed for 323 children before surgery,with 372 cases of reconstruction in total,and all 323 children underwent surgery according to the preoperative surgical plan.Among these 323 children,287 were followed up after surgery and 36 were lost to follow-up,with a follow-up time of 9(2,16)months.Among the 287 children,286 had no significant postoperative complications with good survival conditions,and 1 child with nephroblastoma had intestinal obstruction after surgery and achieved good survival conditions after the second surgery.Conclusion Hisense CAS can provide an accurate preoperative evaluation of tumors in parenchymal organs such as the liver and the kidney,assist in the design of optimal surgical plans,and help to achieve more accurate,safe,and effective surgery for infants and young children,which provides important guidance for precise implementation of surgical operation.