今日精准肝脏外科中的问题

Problems of precision hepatic surgery in nowadays

  • 摘要: 精准肝脏外科理念的提出,极大地丰富了精准肝脏外科的内涵并推动肝脏外科向更精、更细、更准的水平发展。现今通过薄层扫描、三维成像和3D打印技术,已经能够十分清晰地显示肝脏内部结构和病变范围,但这些影像学和解剖学上的精准技术并未很好地改变外科治疗的临床疗效。术者的手术经验和技术水平较精准的影像技术和模拟手术规划更为重要,两者完美结合方能获得最佳疗效。对于入肝血流阻断时间和剩余安全肝脏体积,术者可根据患者具体情况,参照已有的临床研究结果以及手术团队与设备条件灵活决策。通过持续的临床观察、研究、突破与创新才可能把精准肝脏外科推向更高水平。

     

    Abstract: With the era of precision hepatic surgery coming, the hepatic surgery has been promoted to brand new level, which would be more accurate and meticulous. However, all those advances, such as super thin computed tomography scan, three dimensional imaging and the technology of three dimensional printing, have not promoted the clinic results for patients overtly. The optimal curative effect could be attained, if there is a perfect combination of operators′ experience and those advanced imaging. For two issues, the time of vascular inflow occlusion and residual hepatic volume, operators could flexiblely use of clinic existing researches with surgical team and instruments according to the medical condition of patients. Precision hepatic surgery could be promoted to a higher level through constantly clinical research and innovations.

     

/

返回文章
返回