Evolution of image-guided liver surgery: transition from open to laparoscopic procedures.
Evolution of image-guided liver surgery: transition from open to laparoscopic procedures.
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DOI：
10.1007/s11605-013-2214-5
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发表时间：
2013-07
影响因子：
3.2
通讯作者：
Jarnagin, William R.
中科院分区：
文献类型：
--
作者：
Kingham, T. Peter;Jayaraman, Shiva;Clements, Logan W.;Scherer, Michael A.;Stefansic, James D.;Jarnagin, William R.
肝脏手术治疗原发性和继发性肝脏恶性肿瘤的适应症正在扩大。利用 B 型或二维术中超声数据，复制术前 CT 或 MRI 扫描的结果通常具有挑战性。最近开发的图像引导技术将术前轴向成像记录到 3 维实时模型，其附加数据可用于改进手术计划、定位难以发现的肝脏肿瘤并指导消融。腹腔镜肝脏手术通常比开放手术更具挑战性。图像引导技术可以通过增强超声检查结果和消融引导来帮助克服微创肝脏手术的一些障碍。本手稿描述了评估开放图像引导系统的协议，以及直接比较腹腔镜与开放图像引导系统进行验证的后续协议。两种方案都仅限于肝脏内的消融。腹腔镜图像引导系统成功创建了 7 毫米汞柱和 14 毫米汞柱的 3D 模型，与开放式 3D 模型相似。最终，改善术中图像引导有助于扩大腹腔镜和开腹肝脏手术的能力。
Indications for liver surgery to treat primary and secondary hepatic malignancies are broadening. Utilizing data from B-mode or 2-dimensional intraoperative ultrasound, it is often challenging to replicate the findings from preoperative CT or MRI scans. Additional data from more recently developed image-guidance technology, which registers preoperative axial imaging to a 3-dimensional real-time model, may be used to improve operative planning, locate difficult to find hepatic tumors, and guide ablations. Laparoscopic liver procedures are often more challenging than their open counterparts. Image-guidance technology can assist in overcoming some of the obstacles to minimally invasive liver procedures by enhancing ultrasound findings and ablation guidance. This manuscript describes a protocol that evaluated an open image-guidance system, and a subsequent protocol that directly compared, for validation, a laparoscopic with an open image-guidance system. Both protocols were limited to ablations within the liver. The laparoscopic image-guidance system successfully creates a 3-D model at both 7 and 14 mm Hg that is similar to the open 3-D model. Ultimately, improving intraoperative image guidance can help expand the ability to perform both laparoscopic and open liver surgeries.
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影响因子：
2.6
作者：
Risholm, Petter;Golby, Alexandra J.;Wells, William, III
通讯作者：
Wells, William, III
影响因子：
9
作者：
Fong, Y;Fortner, J;Blumgart, LH
通讯作者：
Blumgart, LH
DOI：
10.3109/10929080009148867
发表时间：
2000-01-01
期刊：
Computer aided surgery : official journal of the International Society for Computer Aided Surgery
影响因子：
--
作者：
Herline, A J;Herring, J L;Dawant, B M
通讯作者：
Dawant, B M
影响因子：
--
作者：
Herline, AJ;Stefansic, JD;Chapman, WC
通讯作者：
Chapman, WC
影响因子：
10.6
作者：
Cash, DM;Miga, MI;Chapman, WC
通讯作者：
Chapman, WC