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腹腔镜肝切除术关键技术、难点及对策

蔡秀军 蔡柳新

中国实用外科杂志2017,Vol.37Issue(5):461-465,5.
中国实用外科杂志2017,Vol.37Issue(5):461-465,5.DOI:10.19538/j.cjps.issn1005-2208.2017.05.01

腹腔镜肝切除术关键技术、难点及对策

Key technique, challenge and strategy of laparoscopic hepatectomy

蔡秀军 1蔡柳新1

作者信息

  • 1. 浙江大学医学院附属邵逸夫医院普外科,浙江杭州310016
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摘要

Abstract

Rapid development has been made in laparoscopic liver resections in recently years, with great results. With the rapid development of minimally invasive devices, innovation of new technique and concept, and with the improvement of operation, indications of laparoscopic hepatectomy continues to expand, a variety of liver operations including benign or malignant lesions and even donor liver resection that used to be done in open surgery could be completed under laparoscopy. The resection scope of laparoscopy hepatectomy has expanded from local resection of superficial lesions to semi-hepatectomy and extended anatomic resection. However, the procedure is still in the stage of development, lacking of standard operation, with difficulty in controlling intraoperative bleeding and a long period of training surgeons, which restricts the further progress of laparoscopic hepatectomy. It is of great significance to establish an effective education system for the training of specialist, so as to master the key techniques of laparoscopic hepatectomy such as the hepatic vascular occlusion and bleeding control and liver parenchyma dissection, accelerating the standardization program of the operation, which is extremely important for the popularizing and spreading of laparoscopic hepatectomy.

关键词

腹腔镜/肝切除术/肝实质离断/肝血流阻断/术中出血

Key words

laparoscopy/hepatectomy/liver parenchyma dissection/hepatic vascular occlusion/intraoperative bleeding

分类

医药卫生

引用本文复制引用

蔡秀军,蔡柳新..腹腔镜肝切除术关键技术、难点及对策[J].中国实用外科杂志,2017,37(5):461-465,5.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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