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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/OL]. 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/OL]. 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。

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