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1.
Khirurgiia (Mosk) ; (5): 65-74, 2024.
Artigo em Russo | MEDLINE | ID: mdl-38785241

RESUMO

Parenchyma- sparing liver resections are aimed at maximizing the possible preservation of parenchyma not affected by the tumor - a current trend in hepatopancreatobiliary surgery. On the other hand, a prerequisite for operations is to ensure their radicality. To effectively solve this problem, all diagnostic imaging methods available in the arsenal are used, which make it possible to comprehensively solve the issues of perioperative planning of the volume and technical features of the planned operation. Diagnostic imaging methods that allow intraoperative navigation through intraoperative, instrumentally based determination of the tumor border and resection plane have additional value. One of the methods of such mapping is ICG video fluorescence intraoperative navigation. An analysis of the clinical use of the domestic video fluorescent navigation system "MARS" for parenchymal-sparing resections of focal liver lesions is presented. An assessment was made of the dynamics of the distribution of the contrast agent during ICG videofluorescent mapping during parenchymal-sparing resection interventions on the liver, with the analysis of materials from histological examination of tissues taking into account three-zonal videofluorescent marking of the resection edge, performed using the domestic videofluorescence imaging system «MARS¼.


Assuntos
Hepatectomia , Verde de Indocianina , Neoplasias Hepáticas , Fígado , Imagem Óptica , Humanos , Hepatectomia/métodos , Neoplasias Hepáticas/cirurgia , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/patologia , Fígado/cirurgia , Fígado/diagnóstico por imagem , Imagem Óptica/métodos , Masculino , Verde de Indocianina/administração & dosagem , Cirurgia Assistida por Computador/métodos , Feminino , Pessoa de Meia-Idade
2.
Khirurgiia (Mosk) ; (8): 84-97, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34363450

RESUMO

The purpose of the study was a systematic review of current trends in preoperative planning of surgery for liver tumors. These data will be valuable to determine the advantages and disadvantages of 3D modeling, augmented reality technology and 3D printing in preoperative planning of surgery for focal liver lesions.


Assuntos
Neoplasias Hepáticas , Humanos , Neoplasias Hepáticas/cirurgia , Impressão Tridimensional
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