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目的探讨虚拟肝脏手术规划对中央型肝癌切除术的指导价值。方法应用虚拟肝脏手术规划系统软件Liv1.0对福建医科大学附属第一医院2007年6月至2012年6月49例病人进行虚拟中央型肝癌切除手术规划,将虚拟手术规划结果与手术中所见进行对比。结果 49例病人虚拟肝脏手术规划所测预切除肝脏体积为(543±225)mL,实际切除肝脏体积为(573±212)mL,平均误差(29±66)mL,两者间高度正相关(相关系数r=0.983,P<0.01)。结论针对中央型肝癌切除术,应用虚拟肝脏手术规划进行手术模拟,有利于评估肿瘤的可切除性并指导手术切除方式的选择。
Objective To investigate the guiding value of virtual liver surgery planning for central hepatectomy. Methods The virtual liver surgery planning system software Liv1.0 was used to plan the virtual central hepatectomy in 49 patients from June 2007 to June 2012 in the First Affiliated Hospital of Fujian Medical University. The results of the virtual surgical planning and the surgical findings comparing. Results The volume of the resected liver measured by the virtual liver surgery program in the 49 patients was (543 ± 225) mL and the volume of the resected liver was (573 ± 212) mL, with an average error of 29 ± 66 mL. There was a positive correlation between the two Correlation coefficient r = 0.983, P <0.01). Conclusion For the resection of central hepatic carcinoma, the surgical simulation of virtual liver surgery planning is helpful to assess the resectability of the tumor and guide the choice of surgical resection.