数字化技术在肝胆胰疾病诊疗中的应用现状及前景
Application Status and Prospect of Digital Technology in Diagnosis and Treatment of Hepatobiliary and Pancreatic Diseases
DOI: 10.12677/ACM.2022.1291238, PDF,   
作者: 苏鹏宇:青海大学医学院,青海 西宁;侯立朝*:青海大学附属医院,青海 西宁
关键词: 数字化技术三维重建手术规划Digital Technology Three-Dimensional Reconstruction Surgical Planning
摘要: 伴随科学技术日新月异的发展,医学数字化技术也出现翻天覆地的革新,三维重建、3D打印、增强现实等一系列数字化诊疗方法在疾病的诊疗过程中初露锋芒,也为肝胆胰疾病的诊治打开了新天地,使肝胆胰外科疾病诊疗踏上了数字化诊疗时代。在疾病的诊断、手术方案的设计、术中实时导航、医患沟通及临床教学方面发挥重大作用。
Abstract: With the rapid development of science and technology, medical digital technology has also under-gone earth-shaking innovations. A series of digital diagnosis and treatment methods such as 3D re-construction, 3D printing, and augmented reality have emerged in the process of diagnosis and treatment of diseases, and they have also opened up a new world for the diagnosis and treatment of hepatobiliary and pancreatic diseases, making the diagnosis and treatment of hepatobiliary and pancreatic surgery diseases enter the era of digital diagnosis and treatment. It plays an important role in disease diagnosis, surgical plan design, intraoperative real-time navigation, doctor-patient communication and clinical teaching.
文章引用:苏鹏宇, 侯立朝. 数字化技术在肝胆胰疾病诊疗中的应用现状及前景[J]. 临床医学进展, 2022, 12(9): 8568-8572. https://doi.org/10.12677/ACM.2022.1291238

参考文献

[1] 方驰华, 蔡伟, 范应方, 项楠, 杨剑, 曾宁, 祝文, 刘军. 从数字虚拟人到三维可视化肝脏3D打印[J]. 中国实用外科杂志, 2016, 36(01): 47-50.
[2] 方驰华, 张鹏, 刘允怡, 钟世镇. 肝胆胰疾病数字智能化诊疗核心技术、体系构建及其应用[J]. 中华外科杂志, 2019, 57(4): 253-257.
[3] 方驰华, 钟世镇, 原林, 唐雷, 王博亮, 王兴海, 吴坤成, 黄文华, 张刚庆. 数字化虚拟肝脏图像三维重建的初步研究[J]. 中华外科杂志, 2004(2): 30-32.
[4] 张克明, 赵新, 洪智贤, 朱震宇, 齐瑞兆, 孙佳轶, 雷光林, 王兆海, 张绍庚. 术中超声在亚肝段为主的肝切除治疗肝癌合并门静脉高压症中的应用价值[J]. 临床外科杂志, 2017, 25(3): 198-200.
[5] 董家鸿, 黄志强. 精准肝切除——21世纪肝脏外科新理念[J]. 中华外科杂志, 2009, 47(21): 1601-1605.
[6] 白军军, 李航, 孙宝震, 等. 数字化三维重建技术在肝癌精准肝切除术中的应用[J]. 中国普通外科杂志, 2018, 27(7): 826-833.
[7] 周显军, 董蒨, 朱呈瞻, 陈鑫, 魏宾, 段于河, 赵静, 郝希伟, 张虹, 聂佩, 胡斌, 徐文坚, 沈若武, 陈中恒, 董岿然, 白玉作, 舒强, 罗文娟, 高菲, 夏楠, 于綦悦. 数字化重建技术在基于肝脏门静脉结构的肝段划分中的作用及意义[J]. 中华外科杂志, 2018, 56(1): 61-67.
[8] 方驰华, 张鹏, 周伟平, 周俭, 戴朝六, 刘景丰, 荚卫东, 梁霄, 曾思略, 文赛. 三维可视化技术用于多中心1665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): E011.
[9] Okumura, K., Gogna, S., Gachabayov, M., et al. (2021) Gallbladder Cancer: Historical Treatment and New Management Options. World Journal of Gastrointestinal Oncology, 13, 1317-1335. [Google Scholar] [CrossRef] [PubMed]
[10] Sapisochin, G., Ivanics, T., Subramanian, V., Doyle, M., Heim-bach, J.K. and Hong, J.C. (2020) Multidisciplinary Treatment for Hilar and Intrahepatic Cholangiocarcinoma: A Review of the General Principles. International Journal of Surgery, 82S, 77-81. [Google Scholar] [CrossRef] [PubMed]
[11] Zhang, J., Qiao, Q.L., Guo, X.C. and Zhao, J.X. (2018) Application of Three-Dimensional Visualization Technique in Preoperative Planning of Progressive Hilar Cholangiocarcinoma. The American Journal of Translational Research, 10, 1730-1735.
[12] 曾宁, 方驰华, 范应方, 杨剑, 项楠, 祝文, 刘军, 方兆山, 陈青山. 三维可视化系统在肝门部胆管癌外科手术中的应用[J]. 中华肝脏外科手术学电子杂志, 2015, 4(4): 202-205.
[13] 方驰华, 蔡伟, 莫志康, 等. 三维可视引导下经3D腹腔镜胆道硬镜靶向碎石治疗肝胆管结石36例临床分析[J]. 中国实用外科杂志, 2016, 36(3): 309-312.
[14] Conroy, T., Bachet, J.B., Ayav, A., et al. (2016) Current Standards and New Innovative Approaches for Treatment of Pancreatic Cancer. European Journal of Cancer, 57, 10-22. [Google Scholar] [CrossRef] [PubMed]
[15] Siegel, R.L., Miller, K.D. and Jemal, A. (2017) Cancer Sta-tistics, 2017. CA: A Cancer Journal for Clinicians, 67, 7-30. [Google Scholar] [CrossRef] [PubMed]
[16] 王威巍, 李靖, 张宇, 等. 胰腺血管的3D解剖结构研究[J]. 重庆医学, 2017, 46(15): 2075-2077.
[17] 赵玉沛, 方驰华, 张太平, 项楠. 胰头癌三维可视化精准诊治专家共识[J]. 浙江医学, 2018, 40(2): 107-111.
[18] Fang, C., Zhu, W., Wang, H., et al. (2012) A New Approach for Evaluating the Resec-tability of Pancreatic and Periampullary Neoplasms. Pancreatology, 12, 364-371. [Google Scholar] [CrossRef] [PubMed]
[19] Liang, H.B., Wu, W.G., Li, M.L., et al. (2019) Application of Three-Dimensional Visualization Technique in Total Mesopancreas Excision (TMpE) for Pancreatic Head Carcinoma. Chinese Journal of Practical Surgery, 39, 92-95. (In Chinese)
[20] 方小三, 王小明, 韩婷, 胡明华, 王冠男, 韩猛. 三维可视技术指导腹腔镜胰十二指肠切除 治疗胰头癌19例体会[J]. 中华普外科手术学杂志(电子版), 2019, 13(4): 358-361.
[21] 秦向征, 李光照, 李良昌. 局部解剖学教学所面临的问题及解决方法[J]. 解剖科学进展, 2010, 16(1): 95-96.
[22] 杨中杰, 郭爱菊, 杜凤丽, 李怡萱. 医学影像技术专业教学模式与教学方法探究[J]. 中国继续医学教育, 2018, 10(19): 22-23.
[23] Rangarajan, K., Begg, K. and Somani, B. (2019) Online Digital Media: The Uptake of YouTube-Based Digital Clinical Education (DCE). American Journal of Distance Education, 33, 142-150. [Google Scholar] [CrossRef
[24] Jurgaitis, J., Paskonis, M., Pivoriunas, J., et al. (2008) The Comparison of 2-Dimensional with 3-Dimensional Hepatic Visualization in the Clinical Hepatic Anatomy Education. Medicina, 44, 428-438. [Google Scholar] [CrossRef
[25] 王宏, 欧晏娇, 胡鹏, 邓永, 邹丽勤, 邓强庭, 史政荣, 张雷达. 混合现实技术在肝胆外科手术教学中的应用效果[J]. 中华医学教育探索杂志, 2019(12): 1230-1234.
[26] Andolfi, C., Plana, A., Kania, P., et al. (2016) Usefulness of Three-Dimensional Modeling in Surgical Planning, Resident Training, and Patient Education. Journal of Laparoendoscopic & Advanced Surgical Techniques A, 27, 512-515. [Google Scholar] [CrossRef] [PubMed]