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腹腔镜右半肝切除术的技术要领 ——手术流程的标准化

陈亚进 陈捷

中国实用外科杂志2017,Vol.37Issue(5):481-485,5.
中国实用外科杂志2017,Vol.37Issue(5):481-485,5.DOI:10.19538/j.cjps.issn1005-2208.2017.05.06

腹腔镜右半肝切除术的技术要领 ——手术流程的标准化

Technical essentials of laparoscopic right hepatectomy:Surgical progress standardization

陈亚进 1陈捷1

作者信息

  • 1. 中山大学孙逸仙纪念医院肝胆外科,广东广州510120
  • 折叠

摘要

Abstract

The number of laparoscopic right hepatectomy has been increased. However, there are still some drawbacks such as long learning curve, high transit rate, and inevitable mortality and complication rate. Laparoscopic right hepatectomy requires systematic standardization of education. In selected cases, a series of standardized control steps such as standardized preoperative assessment, intraoperative ultrasound application, intrahepatic space anatomy, anterior approach, optimized parenchyma transection technique, preoperative assessment of bleeding and complete postoperative management make laparoscopic right hepatectomy to achieve the request of visible, process, concise, controllable. Standardization implements the principle of injury control and tumor-free to reduce bleeding and blood transfusion for the purpose of the patient is expected to benefit the overall long-term.

关键词

腹腔镜/右半肝切除术/标准化/肝内间隙

Key words

laparoscopy/right hemihepatectomy/standardiza-tion/intrahepatic space

分类

医药卫生

引用本文复制引用

陈亚进,陈捷..腹腔镜右半肝切除术的技术要领 ——手术流程的标准化[J].中国实用外科杂志,2017,37(5):481-485,5.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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