混合现实技术辅助全腹腔镜下胰十二指肠切除术*

Laparoscopic pancreatoduodenectomy assisted by mixed reality technique*

摘要:

摘要：目的??探讨应用混合现实技术辅助全腹腔镜下胰十二指肠切除术（LPD）的可行性。方法?选取中南大学湘雅医院肝胆胰外科收治的十二指肠肿瘤患者1例，术前检查完善，无绝对手术禁忌，拟行LPD。术前利用患者腹部CT对患者体表及靶病变进行三维重建及手术规划，术中应用混合现实（MR）技术导航手术入路、明辨重要解剖结构、辅助进行LPD，顺利完成手术。结果?患者恢复顺利，无明显并发症，术后2周顺利出院。结论?MR技术对手术部位解剖结构重建及定位精确，有望为普外科手术带来更多的发展和进步，应用前景良好。

Abstract:

Abstract: Objective?To explore the feasibility of total laparoscopic pancreaticoduodenectomy (LPD) assisted by mixed reality technique.?Methods?A patient with duodenal tumor was selected for total laparoscopic pancreaticoduodenectomy. The abdominal CT was used for three-dimensional reconstruction and surgical planning of the body surface and target lesions of the patients before operation. The mixed reality technology (Mixed Reality, MR) was used to navigate the surgical approach, important anatomical structures and assist in total laparoscopic pancreaticoduodenectomy, and the operation was completed successfully.?Results?The patient recovered smoothly without obvious complications and was discharged 2 weeks after operation.?Conclusion?MR technique can accurately reconstruct and locate the anatomical structure of the surgical site, which is expected to bring more possibilities and prospects for the development of general surgery.