Novosti
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This journal is indexed in Scopus |
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Year 2017 Vol. 25 No 5
INFORMATION TECHNOLOGIES IN SURGERY
S.E. KATORKIN, A.V.KOLSANOV, S.A.BYSTROV, P.M.ZELTER, I.S.ANDREEV
VIRTUAL 3-D MODELING IN SURGICAL TREATMENT OF CHRONIC PANCREATITIS
FSBEE HE “Samara State Medical University”, Samara
The Russian Federation
Objectives. To study the effectiveness of color 3-D modeling on the basis of data analysis of multidetector computed tomography when performing the subtotal resection of the pancreas head in chronic pancreatitis.
Methods. In the study the patient was enrolled with a diagnosis of chronic pancreatitis with enlargement of the major pancreatic duct, cysts of the pancreas head, obstructive jaundice. The case-history had an alcohol abuse. For 5 years, he was suffering from constant shingles in the epigastrium. 10 days before hospitalization the patient began to note the yellowish discoloration of the skin. A multidetector computed tomography with bolus contrasting before and after the operation was performed. Based on the obtained data in the program “Autoplan”, which was created in the Center for Breakthrough Studies of the FSBEE HE “Samara State Medical University”, a preoperative color 3-D model of the surgical intervention area was created, which was tested intraoperatively.
Results. According to this 3-D model, the patient was identified three cysts in the head of the pancreas, unrelated, a significant expansion of the major pancreatic duct, marked bilious hypertension with the expansion of common bile duct and common hepatic duct. For the purpose of biliary decompression, the percutaneous transhepatic cholangiostoma was applied. The duodenum-preserving subtotal resection of the pancreas head with the longitudinal pancreatojejunostomy was performed, and hepaticojejunoanastomosis was formed on the Roux-en-Y. The data of the preoperative model were confirmed intraoperatively, and all three cysts were eliminated. The postoperative period proceeded without complications. The patient was discharged on the 14th day in a satisfactory condition. To assess the adequacy of the scope of the surgical intervention, a postoperative color 3-D model was also constructed. The postoperative 3-D model did not reveal any pathological formations in the pancreas.
Conclusions. 3-D modeling provides a surgeon with the reliable topographic and anatomical information about the organs of the hepatobiliopancreatoduodenal region. 3-D reconstruction improves the chances for success of the operation and reduces the risk of postoperative complications. Postoperative 3-D modeling allows estimating the adequacy of the volume of the performed surgical intervention.
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443079, Russian Federation,
Samara, Karla Marksa Ave., 165«b»,
Clinic of FSBEE HE “Samara
State Medical University”,
Department and Clinic of Hospital Surgery,
tel. office: +7 846 276-77-89,
e-mail: katorkinse@mail.ru,
Sergey E. Katorkin
Katorkin S.E., PhD, Associate Professor, Head of the Department and Clinic of Hospital Surgery of FSBEE HE “Samara State Medical University”.
Kolsanov A.V., MD, Professor, Head of the Department of Operative Surgery and Clinical Anatomy with the Course of Innovative Technologies of FSBEE HE “Samara State Medical University”, Director of the Institute of Innovative Development of “Samara State Medical University”, Supervisor of the Center of Breakthrough Research “Information technology in medicine.”
Bystrov S.A., PhD, Associate Professor, Head of the Surgical Unit of the Clinic of Hospital Surgery of FSBEE HE “Samara State Medical University”.
Zelter P.M., PhD, Assistant of the Department of Radiation Diagnostics and Radiation Therapy with the Course of Medical Informatics of FSBEE HE “Samara State Medical University”.
Andreev I.S., PhD, Surgeon of the Surgical Unit of the Clinic of Hospital Surgery of FSBEE HE “Samara State Medical University”.
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