Laparoscopic-assisted liver resections (LALR): A safe and feasible strategy of minimally invasive liver surgery applied to difficult resections

Abstract

This study was use MI-3DVS system reconstruction 30 cases of hepatic trauma patients, observation of three-dimensional imaging features of liver trauma. Methods: Application of MI-3DVS system for 3D reconstruction of patients with liver trauma, the trauma site, nature, scope by three-dimensional reconstruction, if the patients need for operation, in comparison with preoperative 3D reconstruction, can help physicians decide the size of operation mode, operation range. Results: 30 cases of traumatic patients were 20 cases of closed liver injury and 10 cases of open injury of the liver. 21 cases of patients with preoperative three-dimensional reconstruction model showed the intrahepatic vascular injury, need operation, the preoperative 3D reconstruction of consensus was found in operation. 9 cases of preoperative three-dimensional reconstruction model did not show the intrahepatic vascular injury, conservative treatment for patients with successful. All 30 patients recovered and were discharged from hospital. Conclusion: Abdominal medical image visualization system (MI-3DVS) 3D data can be rapid and efficient completion of the liver of 64 row spiral CT program segmentation, 3D reconstruction, 3D image can completed reflection the liver trauma, it makes doctors have a more comprehensive understanding and diagnosis before the operation, make the operation more precise, so that patients receive timely treatment correctly, abdominal medical image system has a good applied future in the diagnosis and treatment of liver trauma.