三维可视化技术在肝多房棘球蚴病中的应用进展

张东; 王志鑫; 赵乾; 苏晓霞; 徐凯; 董明明; 李玮; 侯立朝; 樊海宁; 王海久

doi:10.3969/j.issn.1001-5256.2023.02.033

三维可视化技术在肝多房棘球蚴病中的应用进展

DOI: 10.3969/j.issn.1001-5256.2023.02.033

青海大学附属医院肝胆胰外科，青海省包虫病研究重点实验室，西宁 810001

基金项目:

青海省科技厅项目 (2019-SF-131)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：张东负责文献收集和论文撰写；徐凯、董明明、李玮负责文献收集；赵乾、侯立朝负责论文框架；樊海宁、王志鑫、苏晓霞提出了修改意见；王海久负责论文审校和修订。

详细信息

通信作者:
王海久，wanghaijiuqy@126.com (ORCID: 0000-0003-1353-483X)

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出版历程
- 收稿日期: 2022-05-26
- 录用日期: 2022-06-28
- 出版日期: 2023-02-20

Advances in the application of three-dimensional visualization technique in hepatic alveolar echinococcosis

Department of Hepatopancreatobiliary Surgery, Qinghai Province Key Laboratory of Hydatid Disease Research, The Affiliated Hospital of Qinghai University, Xining 810001, China

Research funding:

Qinghai Key Science and Technology Program (2019-SF-131)

More Information

Corresponding author: WANG Haijiu, wanghaijiuqy@126.com (ORCID: 0000-0003-1353-483X)

摘要

摘要: 肝多房棘球蚴病是由多房棘球绦虫感染所致的寄生虫疾病，在我国传播范围广、危害较大。目前肝多房棘球蚴病的常规影像学检查方法主要为超声、CT及MRI，但其术前诊断及评估均具有一定的局限性。本文主要介绍了新兴的三维可视化技术及其衍生技术在肝多房棘球蚴病的精准诊断和术前评估的指导作用，以期为以后的肝多房棘球蚴病的临床诊治提供帮助。
- 棘球蚴病, 肝 /
- 成像, 三维 /
- 外科手术
Abstract: Hepatic alveolar echinococcosis (HAE) is a parasitic disease caused by Echinococcus multilocularis infection and has wide distribution and great harm in China. At present, ultrasound, CT, and MRI are the main radiological examination methods for HAE, with certain limitations in preoperative diagnosis and evaluation. This article introduces the guiding effect of three-dimensional visualization technique and its derivative technologies in the accurate diagnosis and preoperative evaluation of HAE, so as to provide help for the clinical diagnosis and treatment of HAE in the future.
- Echinococcosis, Hepatic /
- Imaging, Three-Dimensional /
- Surgical Procedures, Operative

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参考文献(35)

[1]	CADAVID RESTREPO AM, YANG YR, MCMANUS DP, et al. The landscape epidemiology of echinococcoses[J]. Infect Dis Poverty, 2016, 5: 13. DOI: 10.1186/s40249-016-0109-x.
[2]	CRAIG PS, GIRAUDOUX P, WANG ZH, et al. Echinococcosis transmission on the Tibetan Plateau[J]. Adv Parasitol, 2019, 104: 165-246. DOI: 10.1016/bs.apar.2019.03.001.
[3]	Radiology of Infection Sub-branch, Radiology Branch, Chinese Medical Association; Committee on Radiology of Infectious, Radiology Branch, Chinese Medical Doctor Association. Expert consensus on the imaging diagnosis of hepatic echinococcosis[J]. J Clin Hepatol, 2021, 37(4): 792-797. DOI: 10.3969/j.issn.1001-5256.2021.04.014. 中华医学会放射学分会传染病学组, 中国医师协会放射医师分会感染影像专业委员会. 肝包虫病影像学诊断专家共识[J]. 临床肝胆病杂志, 2021, 37(4): 792-797. DOI: 10.3969/j.issn.1001-5256.2021.04.014.
[4]	DONG JH, YANG SZ. Technical characteristics and clinical application of precision liver resection[J]. Chin J Pract Surg, 2010, 30(8): 638-640. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201008008.htm 董家鸿, 杨世忠. 精准肝切除的技术特征与临床应用[J]. 中国实用外科杂志, 2010, 30(8): 638-640. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201008008.htm
[5]	FAN YF, FANG CH. Controversy and consensus on the clinical application of three-dimensional visualization technology in hepatobiliary surgery[J]. Chin J Pract Surg, 2018, 38(2): 137-141. DOI: 10.19538/j.cjps.issn1005-2208.2018.02.04. 范应方, 方驰华. 三维可视化技术在肝胆外科临床应用的争议与共识[J]. 中国实用外科杂志, 2018, 38(2): 137-141. DOI: 10.19538/j.cjps.issn1005-2208.2018.02.04.
[6]	Sichuan Provincial Clinical Center of Hydatid Disease; Special Committee of Hydatid Disease, Sichuan Medical Doctor Association. Expert consensus on diagnosis and treatment of alveolar hydatid disease (2020 edition)[J]. Chin J Bases Clin Gen Surg, 2020, 27(1): 13-17. DOI: 10.7507/1007-9424.201911105. 四川省包虫病临床医学研究中心, 四川省医师协会包虫病专业委员会. 泡型肝包虫病诊疗专家共识(2020版)[J]. 中国普外基础与临床杂志, 2020, 27(1): 13-17. DOI: 10.7507/1007-9424.201911105.
[7]	MIYATA A, ARITA J, KAWAGUCHI Y, et al. Simulation and navigation liver surgery: an update after 2, 000 virtual hepatectomies[J]. Glob Health Med, 2020, 2(5): 298-305. DOI: 10.35772/ghm.2020.01045.
[8]	HE YB, BAI L, LI T, et al. Application of three-dimensional visualization technology in surgical treatment for patients with hepatic alveolar echinococcosis[J]. Chin J Surg, 2016, 54(9): 704-709. DOI: 10.3760/cma.j.issn.0529-5815.2016.09.011. 何翼彪, 白磊, 李涛, 等. 三维可视化技术在肝泡型包虫病外科治疗中的应用[J]. 中华外科杂志, 2016, 54(9): 704-709. DOI: 10.3760/cma.j.issn.0529-5815.2016.09.011.
[9]	MISE Y, TANI K, AOKI T, et al. Virtual liver resection: computer-assisted operation planning using a three-dimensional liver representation[J]. J Hepatobiliary Pancreat Sci, 2013, 20(2): 157-164. DOI: 10.1007/s00534-012-0574-y.
[10]	SCHMIDT S, DEMARTINES N, SOLER L, et al. Portal vein normal anatomy and variants: implication for liver surgery and portal vein embolization[J]. Semin Intervent Radiol, 2008, 25(2): 86-91. DOI: 10.1055/s-2008-1076688.
[11]	A J, ZHANG J, CHAI J, et al. Comparison of the efficacy of anatomic and non-anatomic hepatectomy for hepatic alveolar echinococcosis: clinical experience of 240 cases in a single center[J]. Front Public Health, 2021, 9: 816704. DOI: 10.3389/fpubh.2021.816704.
[12]	LI B, QIU ZQ, MIAO YN, et al. Anatomic basis for new understanding of anatomical division of right hepatic segment(with three-dimensional digital anatomical study of 110 cases of human right hepatic lobe)[J]. Chin J Pract Surg, 2020, 40(12): 1419-1424. DOI: 10.19538/j.cjps.issn1005-2208.2020.12.20. 李斌, 邱智泉, 缪应鸟, 等. 右肝段区域划分新认识的解剖学依据研究(附110例人右肝三维数字解剖学研究结果)[J]. 中国实用外科杂志, 2020, 40(12): 1419-1424. DOI: 10.19538/j.cjps.issn1005-2208.2020.12.20.
[13]	FANG CH, ZHANG P, ZHOU WP, et al. Efficacy of three-dimensional visualization technology in the precision diagnosis and treatment for primary liver cancer: A retrospective multicenter study of 1 665 cases in China[J]. Chin J Surg, 2020, 58(5): E11. DOI: 10.3760/cma.j.cn112139-20200220-E00105. 方驰华, 张鹏, 周伟平, 等. 三维可视化技术用于多中心1 665例原发性肝癌精准诊治的回顾性研究[J]. 中华外科杂志, 2020, 58(5): E11. DOI: 10.3760/cma.j.cn112139-20200220-E00105.
[14]	LANG H, RADTKE A, HINDENNACH M, et al. Impact of virtual tumor resection and computer-assisted risk analysis on operation planning and intraoperative strategy in major hepatic resection[J]. Arch Surg, 2005, 140(7): 629-638; discussion 638. DOI: 10.1001/archsurg.140.7.629.
[15]	XU TT, SUN YQ, ZHANG Q, et al. Value of three-dimensional visualization technology in preoperative evaluation of liver autotransplantation for end-stage hepatic alveolar echinococcosis[J]. Chin J Schisto Control, 2018, 30(6): 646-651. DOI: 10.16250/j.32.1374.2018098. 徐天天, 孙艳秋, 张强, 等. 三维可视化技术在终末期肝多房棘球蚴病自体肝移植术前评估中的应用价值[J]. 中国血吸虫病防治杂志, 2018, 30(6): 646-651. DOI: 10.16250/j.32.1374.2018098.
[16]	BAO GJ, LI SP, SUN J, et al. Study of anatomic variations of hepatic artery by 640-slice dynamic volume CT[J]. Chin Comput Med Imag, 2014, 20(6): 555-560. DOI: 10.19627/j.cnki.cn31-1700/th.2014.06.019. 鲍光进, 李树平, 孙静, 等. 肝动脉解剖变异的640层容积CT血管成像研究[J]. 中国医学计算机成像杂志, 2014, 20(6): 555-560. DOI: 10.19627/j.cnki.cn31-1700/th.2014.06.019.
[17]	HOU YH, CUI AL, LIU XM, et al. The anatomic features of variant hepatic artery and its possible clinical significance[J]. Chin J Clin Anat, 2019, 37(4): 366-370. DOI: 10.13418/j.issn.1001-165x.2019.04.002. 侯燕红, 崔爱玲, 刘学敏, 等. 变异肝动脉的解剖学特点及其临床意义[J]. 中国临床解剖学杂志, 2019, 37(4): 366-370. DOI: 10.13418/j.issn.1001-165x.2019.04.002.
[18]	LU C, LIU ZQ. The imaging study of hepatic arterial variations[J]. Chin J Interv Imaging Ther, 2006, 3(2): 84-87. DOI: 10.3969/j.issn.1672-8475.2006.02.002. 卢川, 刘作勤. 肝动脉解剖变异影像学研究[J]. 中国介入影像与治疗学, 2006, 3(2): 84-87. DOI: 10.3969/j.issn.1672-8475.2006.02.002.
[19]	WANG CY, ZHANG ZP, FANG ZH, et al. Anatomical variations and new anatomical classification of the arteries supplying the liver based on multi-slice spiral CT[J]. Chin J Gen Surg, 2020, 29(7): 857-866. DOI: 10.7659/j.issn.1005-6947.2020.07.010. 王承宇, 张志鹏, 方真好, 等. 基于多层螺旋CT的供肝动脉解剖变异与新解剖分型研究[J]. 中国普通外科杂志, 2020, 29(7): 857-866. DOI: 10.7659/j.issn.1005-6947.2020.07.010.
[20]	ABUDUSALAMU AN, SHAO YM, TUERGANAILI AJ, et al. Value of preoperative computed tomography and three-dimensional reconstruction of major vascular structures before ex vivo liver resection and autotransplantation for hepatic alveolar echinococcosis[J]. Chin J Organ Transplant, 2019, 40(4): 205-210. DOI: 10.3760/cma.j.issn.0254-1785.2019.04.004. 阿卜杜萨拉木·艾尼, 邵英梅, 吐尔干艾力·阿吉, 等. CT和3D重建在肝泡型包虫病离体肝切除和自体肝移植术前评价重要血管中的作用[J]. 中华器官移植杂志, 2019, 40(4): 205-210. DOI: 10.3760/cma.j.issn.0254-1785.2019.04.004.
[21]	Chinese Doctor Association, Chinese College of Surgeons (CCS), Chinese Committee for Hadytidology (CCH). Expert consensus on diagnosis and treatment of hepatic cystic and alveolar echinococcosis (2019 edition)[J]. Chin J Dig Surg, 2019, 18(8): 711-721. DOI: 10.3760/cma.j.issn.1673-9752.2019.08.002. 中国医师协会外科医师分会包虫病外科专业委员会. 肝两型包虫病诊断与治疗专家共识(2019版)[J]. 中华消化外科杂志, 2019, 18(8): 711-721. DOI: 10.3760/cma.j.issn.1673-9752.2019.08.002.
[22]	DA W, ZHANG J, SUOLANG DJ, et al. Application of preoperative 3D reconstruction visualization digital technology in the surgical treatment of hepatic echinococcosis in Tibet[J]. Chin J Hepatobiliary Surg, 2021, 27(8): 575-578. DOI: 10.3760/cma.j.cn113884-20200922-00505. 达瓦, 张隽, 索朗多杰, 等. 术前三维重建可视化数字技术在西藏地区肝包虫病手术治疗中的应用[J]. 中华肝胆外科杂志, 2021, 27(8): 575-578. DOI: 10.3760/cma.j.cn113884-20200922-00505.
[23]	YANGDAN CR, WANG ZX, REN L, et al. Application of three-dimensional reconstruction in preoperative evaluation of hepatic alveolar echinococcosis[J]. Chin J Bases Clin Gen Surg, 2016, 23(5): 526-529. DOI: 10.7507/1007-9424.20160140. 阳丹才让, 王志鑫, 任利, 等. 三维重建技术在泡型肝包虫病术前评估中的应用[J]. 中国普外基础与临床杂志, 2016, 23(5): 526-529. DOI: 10.7507/1007-9424.20160140.
[24]	JIANG C. Study on the prediction of hepatic dysfunction in patients with alveolar hydatid disease by standardized residual liver volume[D]. Xining: Qinghai University, 2017. 姜超. 标准化残肝体积预测泡型肝包虫病患者术后发生肝功能不全的研究[D]. 西宁: 青海大学, 2017.
[25]	COHEN AR, LOHANI S, MANJILA S, et al. Virtual reality simulation: basic concepts and use in endoscopic neurosurgery training[J]. Childs Nerv Syst, 2013, 29(8): 1235-1244. DOI: 10.1007/s00381-013-2139-z.
[26]	BORGMANN H, RODRÍGUEZ SOCARRÁS M, SALEM J, et al. Feasibility and safety of augmented reality-assisted urological surgery using smartglass[J]. World J Urol, 2017, 35(6): 967-972. DOI: 10.1007/s00345-016-1956-6.
[27]	SAUER IM, QUEISNER M, TANG P, et al. Mixed reality in visceral surgery: development of a suitable workflow and evaluation of intraoperative use-cases[J]. Ann Surg, 2017, 266(5): 706-712. DOI: 10.1097/SLA.0000000000002448.
[28]	YANG W, TANG R, TONG X, et al. Application of mixed reality in precise hepatobiliary surgery[J]. Chin J Pract Surg, 2021, 41(3): 298-305. DOI: 10.19538/j.cjps.issn1005-2208.2021.03.13. 杨威, 汤睿, 童翾, 等. 混合现实技术在精准肝胆外科手术中应用研究[J]. 中国实用外科杂志, 2021, 41(3): 298-305. DOI: 10.19538/j.cjps.issn1005-2208.2021.03.13.
[29]	ZHAO ZM, YIN ZZ, PAN LC, et al. Multimodality navigation for liver resection of complicated alveolar echinococcosis[J]. Natl Med J China, 2020, 100(44): 3525-3528. DOI: 10.3760/cma.j.cn112137-20200327-00957. 赵之明, 尹注增, 潘立超, 等. 多模态影像融合导航在肝切除治疗复杂泡型肝包虫病中的初步应用[J]. 中华医学杂志, 2020, 100(44): 3525-3528. DOI: 10.3760/cma.j.cn112137-20200327-00957.
[30]	Chinese Medieal Association. Guidelines for application of computer-assisted indocyanine green molecular fluorescence imaging in diagnosis and surgical navigation of liver tumors (2019)[J]. Chin J Pract Surg, 2019, 39(7): 641-650, 654. DOI: 10.19538/j.cjps.issn1005-2208.2019.07.01. 中华医学会数字医学分会, 中国研究型医院学会数字智能化外科专业委员会, 中国医师协会肝癌专业委员会, 等. 计算机辅助联合吲哚菁绿分子荧光影像技术在肝脏肿瘤诊断和手术导航中应用指南(2019版)[J]. 中国实用外科杂志, 2019, 39(7): 641-650, 654. DOI: 10.19538/j.cjps.issn1005-2208.2019.07.01.
[31]	GUO YQ. Application of ICG fluorescence contrast technique in resection of hepatic hydatid disease[D]. Xining: Qinghai University, 2018. 郭雨桥. ICG荧光造影技术在肝包虫病切除手术中的应用[D]. 西宁: 青海大学, 2018.
[32]	WITOWSKI J, WAKE N, GROCHOWSKA A, et al. Investigating accuracy of 3D printed liver models with computed tomography[J]. Quant Imaging Med Surg, 2019, 9(1): 43-52. DOI: 10.21037/qims.2018.09.16.
[33]	HUETTL F, SAALFELD P, HANSEN C, et al. Virtual reality and 3D printing improve preoperative visualization of 3D liver reconstructions-results from a preclinical comparison of presentation modalities and user's preference[J]. Ann Transl Med, 2021, 9(13): 1074. DOI: 10.21037/atm-21-512.
[34]	HUBER T, HUETTL F, TRIPKE V, et al. Experiences with three-dimensional printing in complex liver surgery[J]. Ann Surg, 2021, 273(1): e26-e27. DOI: 10.1097/SLA.0000000000004348.
[35]	CORNEJO J, CORNEJO-AGUILAR JA, VARGAS M, et al. Anatomical engineering and 3D printing for surgery and medical devices: international review and future exponential innovations[J]. Biomed Res Int, 2022, 2022: 6797745. DOI: 10.1155/2022/6797745.