外科理论与实践 ›› 2025, Vol. 30 ›› Issue (01): 74-78.doi: 10.16139/j.1007-9610.2025.01.14

• 综述 • 上一篇    下一篇

三维建模技术在直肠癌手术中的应用与展望

陈子龙 综述, 赵任 审校   

  1. 上海交通大学医学院附属瑞金医院普外科,上海 200025
  • 收稿日期:2024-01-25 出版日期:2025-01-25 发布日期:2025-04-25

Application and prospects of three-dimensional modelling technology in rectal cancer surgery

CHEN Zilong, ZHAO Ren   

  1. Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2024-01-25 Online:2025-01-25 Published:2025-04-25

摘要:

手术是直肠癌根治的主要手段,直肠癌手术目前面临的主要挑战是盆腔解剖结构复杂、手术区域狭窄。三维建模技术将二维的医学影像转化为三维模型,使得医学影像更直观,也更接近手术过程中真实的复杂环境。三维建模技术可重建出病灶及其周围器官、血管、神经等结构,从而帮助疾病的诊疗。目前三维建模技术已经在骨科、泌尿外科、胸外科等外科的术前规划、术中导航、医学教学等领域中发挥重大作用。该技术在直肠癌手术中的应用仍处于探索阶段。本文就三维建模技术在直肠癌手术中应用的相关研究进展进行了综述,以期为该技术在结肠直肠外科的应用研究提供参考。

关键词: 直肠癌, 三维建模, 手术导航, 三维打印, 增强现实

Abstract:

Surgery is the mainly treatment for rectal cancer. Rectal cancer surgery currently poses specific challenges due to the complex anatomy of pelvic and narrow operating area. Three-dimensional(3D) modelling transforms two-dimensional images into three-dimensional models, makes medical imaging more intuitive and closer to the real surgical procedure. 3D modelling can reconstruct lesions along with surrounding structures, such as organs, vessels, and nerves, thereby enhancing disease diagnosis and treatment. Currently, 3D modelling technology has played a significant role in preoperative planning, intraoperative navigation, medical education, and other fields in orthopedics, urology, thoracic surgery and other surgery. However, its application in rectal surgery is still in the exploratory stage. This article provided a review of the relevant research and progress of 3D modelling in rectal cancer surgery, to improve the development of this technology.

Key words: Rectal cancer, Three-dimensional(3D) modelling, Surgical navigation, Three-dimensional(3D) printing, Augmented reality

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