中国实用外科杂志2025，Vol.45Issue(4)：473-480,8.DOI:10.19538/j.cjps.issn1005-2208.2025.04.17
腹腔镜解剖性肝切除术中肝中静脉寻找显露技术要点
Discussion on key techniques for searching and exposing the middle hepatic vein during laparoscopic anatomical h epatectomy
摘要
Abstract
The key to anatomic hepatectomy lies in determining precise liver transection planes guided by hepatic veins during laparoscopic parenchymal division.The middle hepatic vein(MHV),with its crucial functional role and relatively fixed anatomical position,plays a pivotal role in laparoscopic anatomic hepatectomy and its identification,exposure,and the continuous evaluation/adjustment of transection planes are essential.The challenges in laparoscopic MHV exposure primarily involve understanding MHV anatomical variations,mastering parenchymal dissection techniques,and effectively controlling intraoperative hemorrhage.Meanwhile,factors like limited surgical field and restricted operating space make appropriate surgical approaches particularly critical for MHV identification.Therefore,comprehensive knowledge of MHV anatomy combined with proper techniques for MHV exposure during parenchymal transection contributes to accurate determination of resection planes,reduced intraoperative bleeding,and safe parenchymal division.This integrated approach ultimately achieves the goals of anatomic,functional,and precision-oriented hepatic resection.关键词
腹腔镜/解剖性肝切除/肝中静脉/显露Key words
laparoscopy/anatomical hepatectomy/middle hepatic vein/expose分类
医药卫生引用本文复制引用
尤楠,郑璐..腹腔镜解剖性肝切除术中肝中静脉寻找显露技术要点[J].中国实用外科杂志,2025,45(4):473-480,8.基金项目
General Program of Chongqing Medical Scientific Research Project(Joint Project of Chongqing Health Commission and Science and Technology Bureau)(No.2023MSXM004) 重庆市科卫联合医学科研项目面上项目(No.2023MSXM004) （Joint Project of Chongqing Health Commission and Science and Technology Bureau）
