Usefulness of three-dimensional visualization technology in minimally invasive treatment for infected necrotizing pancreatitis
| Autor: | Xian-lei Xin, Zhi-Wei Liu, Lei He, Shou-wang Cai, Jian Feng, Jun-Jun Su, Shi-Chun Lu, Peng-Fei Wang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures Three-dimensional visualization 030230 surgery Patient Care Planning 03 medical and health sciences Imaging Three-Dimensional Pancreatectomy 0302 clinical medicine Retrospective Study medicine Humans Minimally Invasive Surgical Procedures Pancreas Percutaneous catheter drainage Infected necrotizing pancreatitis Aged Retrospective Studies Pancreatitis Acute Necrotizing business.industry Gastroenterology General Medicine Middle Aged eye diseases Visualization Treatment Outcome Percutaneous nephroscopic necrosectomy Three dimensional visualization Drainage Female 030211 gastroenterology & hepatology Radiology Tomography X-Ray Computed business Necrotizing pancreatitis |
| Zdroj: | World Journal of Gastroenterology |
| ISSN: | 1007-9327 |
| Popis: | AIM To explore the value of three-dimensional (3D) visualization technology in the minimally invasive treatment for infected necrotizing pancreatitis (INP). METHODS Clinical data of 18 patients with INP, who were admitted to the PLA General Hospital in 2017, were retrospectively analyzed. Two-dimensional images of computed tomography were converted into 3D images based on 3D visualization technology. The size, number, shape and position of lesions and their relationship with major abdominal vasculature were well displayed. Also, percutaneous catheter drainage (PCD) number and puncture paths were designed through virtual surgery (percutaneous nephroscopic necrosectomy) based on the principle of maximum removal of infected necrosis conveniently. RESULTS Abdominal 3D visualization images of all the patients were well reconstructed, and the optimal PCD puncture paths were well designed. Infected necrosis was conveniently removed in abundance using a nephroscope during the following surgery, and the median operation time was 102 (102 ± 20.7) min. Only 1 patient underwent endoscopic necrosectomy because of residual necrosis. CONCLUSION The 3D visualization technology could optimize the PCD puncture paths, improving the drainage effect in patients with INP. Moreover, it significantly increased the efficiency of necrosectomy through the rigid nephroscope. As a result, it decreased operation times and improved the prognosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|