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