中国普通外科杂志2025，Vol.34Issue(1)：62-69,8.DOI:10.7659/j.issn.1005-6947.240568
腹腔镜门静脉流域解剖性肝切除技术发展及要点
Development and key points of laparoscopic portal territory anatomical liver resection
王安志 1张帆 1杜京洋 1周睿 1陈捷 1曹君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 510000
- 折叠
摘要
Abstract
The development of classical anatomical liver resection has been a topic of considerable debate,particularly regarding its oncological efficacy in treating hepatocellular carcinoma.With continuous advancements in surgical techniques and iterative improvements in minimally invasive surgical equipment,laparoscopic portal territory anatomical resection(LPTAR)has gradually been adopted in clinical practice.Unlike classical anatomical liver resection,which approximates liver segmentectomy based on Couinaud's segmentation,LPTAR integrates technologies such as preoperative 3D visualization and intraoperative indocyanine green fluorescence navigation to target the true portal venous territory.Its core principle lies in achieving"precise liver segmentectomy"of the tumor-bearing portal venous territory.Currently,LPTAR is undergoing rapid development but faces several technical challenges,including the precise identification and control of hepatic pedicles,effective staining of difficult liver segments,and management of anatomical variations.Establishing standardized and streamlined technical protocols is crucial to addressing these issues,as it will improve surgical completeness and safety while enhancing oncological outcomes.Precision liver resection has long been a pursuit of surgeons,and laparoscopic liver resection,led by LPTAR,is poised to make a lasting impact in the field of precision hepatic surgery.关键词
肝肿瘤/肝切除术/腹腔镜/吲哚花青绿/成像,三维Key words
Liver Neoplasms/Hepatectomy/Laparoscopes/Indocyanine Green/Imaging,Three-Dimensional分类
医药卫生引用本文复制引用
王安志,张帆,杜京洋,周睿,陈捷,曹君..腹腔镜门静脉流域解剖性肝切除技术发展及要点[J].中国普通外科杂志,2025,34(1):62-69,8.
