肝切除术中确定肿瘤边界方法的研究进展

王金伟; 张雅敏

doi:10.3969/j.issn.1001-5256.2016.02.039

肝切除术中确定肿瘤边界方法的研究进展

DOI: 10.3969/j.issn.1001-5256.2016.02.039

1. 天津市西青医院外三科
2. 天津市第一中心医院肝胆外科

基金项目:

天津市应用基础与前沿技术研究计划(14JCYBJC24800)；国家自然科学基金面上项目(81370576)；

详细信息

中图分类号: R735.7
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出版历程
- 收稿日期: 2015-06-12
- 出版日期: 2016-02-20

Research advances in methods for determination of tumor boundary in hepatectomy

Third Department of Surgery,Tianjin Xiqing Hospital

Research funding:

摘要

摘要: 随着对肝脏生理学、肿瘤学和解剖学的深入认识以及影像学技术和外科手术装备的发展,肝脏肿瘤手术切除逐步迈向精准阶段。在术中明确肿瘤边界对实现精准肝切除有重要意义。综述了目前常用的肝切除术中确定肿瘤边界的方法,并对各种方法进行了分析比较,总结了各自的优缺点,其中重点介绍了尚未临床普及但有应用前景的检测手段,如术中吲哚氰绿介导的近红外光检测导航技术、纳米分子探针介导的近红外分子显像技术。认为在未来肝脏手术中,多种检查技术的联合应用是必然的发展趋势。
- 肝肿瘤 /
- 肝切除术 /
- 肿瘤边界 /
- 综述
Abstract: With the in- depth understanding of liver physiology,oncology,and anatomy,as well as the development of imaging technology and surgical equipment,hepatectomy has become more precise. Determination of tumor boundary during surgery has a great significance in realizing precise hepatectomy. Various methods for determination of tumor boundary during hepatectomy have been summarized and compared here,as well as their own advantages and disadvantages,with a focus on the detection methods which have not been widely used in clinical practice but have promising prospects,such as indocyanine green- mediated near- infrared light detection and navigation technique and near- infrared molecular imaging technique mediated by nano- molecular probes. Combined application of various examination techniques will become an inevitable trend of development in liver surgeries in the future.
- liver neoplasms /
- hepatectomy /
- tumor boundary /
- review

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参考文献(31)

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