中国实用外科杂志2017，Vol.37Issue(5)：477-481,5.DOI:10.19538/j.cjps.issn1005-2208.2017.05.05
腹腔镜解剖性半肝切除术技巧及关键技术
Skills and key technical difficulties of laparoscopic anatomical hemihepatectomy
尹新民 1朱斯维1
作者信息
- 1. 湖南省人民医院肝胆微创外科,湖南长沙410005
- 折叠
摘要
Abstract
Laparoscopic hemihepatectomy is one of the representative procedures of laparoscopic hepatectomy. With the development of laparoscopic techniques and instruments, it is an urgent requirement of time for laparoscopic doctors to achieve higher quality anatomical liver resection. Laparoscopic anatomical hemihepatectomy (LAHH) must follow the quality standard of open surgery, strictly follow the indications of surgery. Good team, technology and equipment reserve are the premise to carry out LAHH. Patient position, trocar setting, blood blocking of inflow, liver parenchyma cutting, pneumoperitoneum and vein pressure setting are steps and details constitute a successful LAHH indispensable. The localization and exposure of the middle hepatic vein, the control and management of intraoperative hemorrhage are the keys of LAHH.关键词
腹腔镜/肝切除术/解剖性半肝切除/肝中静脉Key words
laparoscopy/hepatectomy/anatomical hemihepa-tectomy/middle hepatic vein分类
医药卫生引用本文复制引用
尹新民,朱斯维..腹腔镜解剖性半肝切除术技巧及关键技术[J].中国实用外科杂志,2017,37(5):477-481,5.
