中国实用外科杂志2017，Vol.37Issue(5)：473-476,4.DOI:10.19538/j.cjps.issn1005-2208.2017.05.04
腹腔镜肝切除术肝实质离断技巧及器械选择
Approach for instruments selection and parenchyma dissection during laparoscopic hepatectomy
摘要
Abstract
The liver parenchyma dissection technology is the key to the success of the surgery. Numerous instruments are now used for liver transaction according to personal preference. However, harmonic ACE and CUSA are favor selection for the majority surgeons. Well performed mobilization and total inflow occlusion are the prerequisites before parenchyma transaction which is indeed a team work. Blood vessels in the surface of the liver parenchyma is less, can be dissected directly using harmonic ACE. On the contrary, the vessels constitution in central parenchyma are intricate. Simple dissection directly may lead to catastrophic bleeding. Identifying each important vessel using crash maneuver by harmonic ACE is suggested. Bipolar coagulator works well for weak bleeding. However, complete suturing is necessary for the bleeding of major vessels.关键词
腹腔镜/肝切除术/肝实质离断/器械Key words
laparoscopy/hepatectomy/liver parenchyma dissection/instruments分类
医药卫生引用本文复制引用
刘连新,梁英健..腹腔镜肝切除术肝实质离断技巧及器械选择[J].中国实用外科杂志,2017,37(5):473-476,4.基金项目
黑龙江省自然科学基金(No.LC2013C31) （No.LC2013C31）
中国博士后基金(No.2016M590292) （No.2016M590292）
黑龙江省博士后基金(No. LBH-Z16100) （No. LBH-Z16100）
