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摘要
Objective: This study systematically reviewed the global application of 3D visualization technology in liver surgery. Methods: PubMed database was searched for English language reports regarding the application of 3D visualization technology in hepatectomy published from 2000 to 2016. The included articles were classified and deeply analyzed. Results: 34 articles were included and reported 1,553 cases. Thirteen studies assessed the accuracy of 3D techniques to estimate for resection volume and margin. The 3D estimated values revealed a good correlation with actually measured values. The coefficient range was 0.874-0.995 (P < 0.001) for the resected liver volume and 0.702-0.967 (P < 0.01) for the resection margin. Five studies compared differences in liver volume estimation between 3D and conventional two-dimensional (2D) imaging technologies. These 3D-estimated values had significantly smaller errors than 2D-estimated values, as compared with the actual measured volumes (P < 0.05). Five studies evaluated the effects of 3D and 2D technologies on surgical procedure and efficacy. 3D technology was associated with shorter surgical duration and less intraoperative blood loss (P < 0.05), and was also superior based on other indicators including incidence for postoperative complications and laboratory test results. Conclusion: 3D visualization technology can clearly display the anatomical structures of the liver and features of the lesions. 3D visualization can accurately estimate liver volume and the resection margin, and is more accurate than traditional 2D imaging. This technology plays an important role in preoperative evaluation and surgical planning, and is also helpful during surgery and postoperative recovery. The application of 3D technology improves the efficacy and safety of hepatectomy.
- 出版日期2017
- 单位新疆医科大学
