Efficacy of multislice computed tomography for gastroenteric and hepatic surgeries.
Efficacy of multislice computed tomography for gastroenteric and hepatic surgeries.
复制标题
多层计算机断层扫描在胃肠道和肝脏手术中的功效。
DOI：
10.3748/wjg.v11.i10.1532
复制
发表时间：
2005
影响因子：
4.3
通讯作者：
M. Tsubakimoto
中科院分区：
文献类型：
--
作者：
H. Ohtani;H. Kawajiri;Y. Arimoto;K. Ohno;Y. Fujimoto;H. Oba;Kenji Adachi;Masaya Hirano;Shoichi Terakawa;M. Tsubakimoto
目的
确定多层螺旋CT在胃肠和肝脏手术中的应用价值。
方法
在51例接受胃肠和肝脏手术的患者中，有50例进行了双期螺旋计算机断层扫描。28例结直肠癌患者、18例胃癌患者和4例肝癌患者分别接受了结直肠手术（腹腔镜手术：6例）、胃切除术和肝切除术。对肠系膜下动脉、腹腔动脉和肝动脉进行三维计算机断层扫描成像。并在术后患者的随访检查中，根据需要进行多平面重建成像。
结果
50例患者的扫描技术上令人满意，并纳入分析。对所有患者都可以进行主要内脏动脉的描绘，这对手术和其他治疗很重要。术前显示左结肠动脉、乙状结肠动脉、腹腔动脉及其分支、肝动脉对淋巴结清扫、肝切除术和肝动脉的设计具有重要意义。多平面重建图像有助于术后随访的诊断。
结论
多层螺旋CT的三维容积再现或多平面重建成像在胃肠和肝脏手术中非常有用。
AIM
To determine the efficacy of multislice CT for gastroenteric and hepatic surgery.
METHODS
Dual-phase helical computed tomography was performed in 50 of 51 patients who underwent gastroenteric and hepatic surgeries. Twenty-eight, eighteen and four patients suffering from colorectal cancer, gastric cancer, and liver cancer respectively underwent colorectal surgery (laparoscopic surgery: 6 cases), gastrectomy, and hepatectomy. Three-dimensional computed tomography imaging of the inferior mesenteric artery, celiac artery and hepatic artery was performed. And in the follow-up examination of postoperative patients, multiplanar reconstruction image was made in case of need.
RESULTS
Scans in 50 patients were technically satisfactory and included in the analysis. Depiction of major visceral arteries, which were important for surgery and other treatments, could be done in all patients. Preoperative visualization of the left colic artery and sigmoidal arteries, the celiac artery and its branches, and hepatic artery was very useful to lymph node dissection, the planning of a reservoir and hepatectomy. And multiplanar reconstruction image was helpful to diagnosis for the postoperative follow-up of patients.
CONCLUSION
Three-dimensional volume rendering or multiplanar reconstruction imaging performed by multislice computed tomography was very useful for gastroenteric and hepatic surgeries.