中国普通外科杂志2025，Vol.34Issue(1)：54-61,8.DOI:10.7659/j.issn.1005-6947.240660
科学肝切除与个体化治疗:最大化患者获益的创新实践
Scientific liver resection and personalized treatment:innovative practices to maximize patient benefits
武志鹏 1杜刚 2刘泽阳 2张赛 2杨梦凡 2刘铭坤 2靳斌3
作者信息
- 1. 山东大学第二医院肝胆外科,山东济南 250001
- 2. 山东大学齐鲁医院器官移植科,山东济南 250012
- 3. 山东大学第二医院肝胆外科,山东济南 250001||山东大学齐鲁医院器官移植科,山东济南 250012||肝胆胰恶性肿瘤多学科交叉研究山东省工程研究中心,山东济南 250001
- 折叠
摘要
Abstract
Primary liver cancer,particularly hepatocellular carcinoma,is one of the most common malignancies in China,and hepatectomy remains the primary curative treatment.However,the efficacy of hepatectomy is significantly limited due to the heterogeneity of liver cancer,its high recurrence rate,and the fact that most patients are diagnosed at advanced stages.In recent years,the development of precision medicine has brought new hope to liver cancer treatment,especially with notable advancements in preoperative assessment,systemic therapy,minimally invasive surgery,and personalized treatment strategies.Preoperative assessment,including imaging technologies such as three-dimensional visualization and molecular imaging,helps physicians accurately evaluate tumor characteristics and liver function,guiding the choice of treatment plan.The combined application of immunotherapy and targeted therapy has significantly improved survival rates for patients with advanced liver cancer.The strategy of combining systemic therapy with local treatment has provided new pathways for translational therapy,expanding the indications for hepatectomy.The optimal selection of patients based on tumor biological characteristics,especially molecular subtyping and liver function status,to maximize patient benefit still requires further exploration.The"seven-step"modular laparoscopic hepatectomy,by achieving scientific hepatectomy,demonstrates the clinical practice of maximizing patient benefit,further elucidating a multidisciplinary,personalized treatment model centered on surgical therapy.关键词
肝肿瘤/肝切除术/精准医学/腹腔镜Key words
Liver Neoplasms/Hepatectomy/Precision Medicine/Laparoscopes分类
医药卫生引用本文复制引用
武志鹏,杜刚,刘泽阳,张赛,杨梦凡,刘铭坤,靳斌..科学肝切除与个体化治疗:最大化患者获益的创新实践[J].中国普通外科杂志,2025,34(1):54-61,8.
