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中华肝脏外科手术学电子杂志 ›› 2023, Vol. 12 ›› Issue (02) : 247 -249. doi: 10.3877/cma.j.issn.2095-3232.2023.02.024

所属专题: 临床研究

综述

腹腔镜术中超声在肝胆胰外科中的应用进展
韦翔曦1, 晋云1,(), 王峻峰2, 胡苹苹2, 杨超1, 杨豆1   
  1. 1. 650032 昆明理工大学附属医院(云南省第一人民医院)肝胆外科
    2. 650032 昆明理工大学附属医院(云南省第一人民医院)肝胆外科;650032 昆明理工大学附属医院(云南省第一人民医院)数字医学研究中心
  • 收稿日期:2022-12-26 出版日期:2023-03-28
  • 通信作者: 晋云
  • 基金资助:
    云南省中青年学术和技术带头人后备人才项目(202005AC160017); 云南省基础研究专项重点项目(202201AS070002); 云南省消化内镜临床医学中心开放课题(2021LCZXXF-XH02); 兴滇人才"名医"专项

Application progress of laparoscopic intraoperative ultrasound in hepatobiliary and pancreatic surgery

Xiangxi Wei1, Yun Jin1(), Junfeng Wang2   

  • Received:2022-12-26 Published:2023-03-28
  • Corresponding author: Yun Jin
引用本文:

韦翔曦, 晋云, 王峻峰, 胡苹苹, 杨超, 杨豆. 腹腔镜术中超声在肝胆胰外科中的应用进展[J]. 中华肝脏外科手术学电子杂志, 2023, 12(02): 247-249.

Xiangxi Wei, Yun Jin, Junfeng Wang. Application progress of laparoscopic intraoperative ultrasound in hepatobiliary and pancreatic surgery[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(02): 247-249.

与传统开腹手术相比,腹腔镜手术具有创伤小、出血少、术后恢复快等优点。然而,腹腔镜手术由于其手术操作区域小,操作时对器官的压迫变形导致术前影像资料无法准确地定位病灶,通常需要术中图像引导。术中超声作为一种无创、安全且低成本的检查工具,在手术中被广泛应用。20世纪90年代腹腔镜术中超声开始应用于临床,尤其是在肝胆胰外科的手术中。腹腔镜术中超声缩短了超声探头与病变之间的直接距离,不仅可使用更高的频率来提升分辨率,还可避免一些身体组织及气体对超声波束的影响。借助彩色多普勒超声(彩超)或不同的造影剂,还可发现一些术前CT等影像学检查不能发现的微小卫星灶和转移灶,在手术中避免损伤重要管道结构、标记切缘、引导穿刺,且弥补了腹腔镜手术不能进行触诊、探查受限以及不能辨识肝脏内部重要解剖结构的缺点[1]。由此可见,腹腔镜术中超声对肝胆胰外科的手术有较高的应用价值。本综述的目的在于概述腹腔镜术中超声在肝胆胰外科不同疾病中的应用。

[1]
王宏光, 张雯雯, 卢实春, 等. 腹腔镜超声在肝脏外科的应用专家共识(2017)[J]. 中华肝胆外科杂志, 2017, 23(11):721-728.
[2]
Bartoș A, Iancu I, Ciobanu L, et al. Intraoperative ultrasound in liver and pancreatic surgery[J]. Med Ultrason, 2021, 23(3):319-328.
[3]
Hackl C, Bitterer F, Platz Batista da Silva N, et al. Intraoperative ultrasound in visceral surgery[J]. Chirurg, 2020, 91(6):474-480.
[4]
Schachter P, Sorin V, Avni Y, et al. The role of laparoscopic ultrasound in the minimally invasive management of symptomatic hepatic cysts[J]. Surg Endosc, 2001, 15(4):364-367.
[5]
Kamiyama T, Kakisaka T, Orimo T. Current role of intraoperative ultrasonography in hepatectomy[J]. Surg Today, 2021, 51(12):1887-1896.
[6]
Schön MR, Justinger C. Laparoscopic liver resection[J]. Der Chirurg, 2017, 88(6):469-475.
[7]
Luciano MP, Namgoong JM, Nani RR, et al. A biliary tract-specific near-infrared fluorescent dye for image-guided hepatobiliary surgery[J]. Mol Pharm, 2019, 16(7):3253-3260.
[8]
Rhu J, Choi GS, Kim JM, et al. Intraoperative ultrasonography as a guidance for dividing bile duct during laparoscopic living donor hepatectomy[J]. Ann Transplant, 2019(24):115-122.
[9]
Piccolo G, Barabino M, Diana M, et al. Application of indocyanine green fluorescence as an adjuvant to laparoscopic ultrasound in minimally invasive liver resection[J]. J Laparoendosc Adv Surg Tech A, 2021, 31(5):517-523.
[10]
刘袁君, 吴泓, 曾勇, 等. 腔镜超声联合荧光显像在腹腔镜肝切除术中的应用[J]. 中国普外科基础与临床杂志, 2020, 27(6): 662-665.
[11]
Santambrogio R, Barabino M, Bruno S, et al. Long-term outcome of laparoscopic ablation therapies for unresectable hepatocellular carcinoma: a single European center experience of 426 patients[J]. Surg Endosc, 2016, 30(5):2103-2113.
[12]
Santambrogio R, Barabino M, De Nicola E, et al. Laparoscopic ablation therapies for hepatocellular carcinoma: could specific indications for the laparoscopic approach influence the effectiveness?[J]. Updates Surg, 2020, 72(2):435-443.
[13]
Santambrogio R, Barabino M, D'Alessandro V, et al. Laparoscopic thermoablation for hepatocellular carcinoma in patients with liver cirrhosis: an effective procedure for tricky tumors[J]. Med Oncol, 2020, 37(4):32.
[14]
Yadav S, Xie H, Bin-Riaz I, et al. adjuvant chemotherapy for cholangiocarcinoma: a propensity score matched analysis[J]. Eur J Surg Oncol, 2019, 45(8):1432-1438.
[15]
Luo Y, Yang T, Yu Q, et al. Laparoscopic ultrasonography versus magnetic resonance cholangiopancreatography in laparoscopic surgery for symptomatic cholelithiasis and suspected common bile duct stones[J]. J Gastrointest Surg, 2019, 23(6):1143-1147.
[16]
Atstupens K, Mukans M, Plaudis H, et al. The role of laparoscopic ultrasonography in the evaluation of suspected choledocholithiasis. a single-center experience[J]. Medicina, 2020, 56(5):246.
[17]
de Werra C, Quarto G, Aloia S, et al. The use of intraoperative ultrasound for diagnosis and stadiation in pancreatic head neoformations[J].Int J Surg, 2015, 21 Suppl 1: S55-58.
[18]
Oba A, Inoue Y, Ono Y, et al. Staging laparoscopy for pancreatic cancer using intraoperative ultrasonography and fluorescence imaging: the SLING trial[J]. Br J Surg, 2021, 108(2):115-118.
[19]
Ramalhinho J, Tregidgo HFJ, Gurusamy K, et al. Registration of untracked 2D laparoscopic ultrasound to CT images of the liver using multi-labelled content-based image retrieval[J]. IEEE Trans Med Imaging, 2021, 40(3):1042-1054.
[20]
Labib PL, Aroori S. Intraoperative ultrasound versus fluorescence and X-ray cholangiography for the identification of bile duct stones, biliary anatomy and bile duct injury during laparoscopic cholecystectomy: time for a randomized controlled trial?[J]. Br J Surg, 2020, 107(11):e563.
[21]
Lau LW, Liu X, Plishker W, et al. Laparoscopic liver resection with augmented reality: a preclinical experience[J]. J Laparoendosc Adv Surg Tech A, 2019, 29(1):88-93.
[22]
Tacher V, Blain M, Hérin E, et al. CBCT-based image guidance for percutaneous access: electromagnetic navigation versus 3D image fusion with fluoroscopy versus combination of both technologies-a phantom study[J]. Cardiovasc Intervent Radiol, 2020, 43(3):495-504.
[23]
Ringe KI, Pöhler GH, Rabeh H, et al. Electromagnetic navigation system-guided microwave ablation of hepatic tumors: a matched cohort study[J]. Cardiovasc Intervent Radiol, 2021, 44(3):500-506.
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