中国实用外科杂志2026，Vol.46Issue(3)：323-326,4.DOI:10.19538/j.cjps.issn1005-2208.2026.03.08
机器人辅助手术治疗肝血管瘤技术要点与难点
Technical points and difficulties of robotic-assisted surgery for hepatic hemangioma
摘要
Abstract
Robotic-assisted hepatectomy has the advantages of being minimally invasive,precise,and controllable in the treatment of giant hepatic hemangiomas,performing particularly well in high-risk vascular anatomy and deep tumor localization.Due to their rich blood supply,massive size,and complex locations,hepatic hemangiomas often pose many technical challenges during surgery,including massive intraoperative bleeding,injury to the hepatic vein or inferior vena cava,and preservation of liver function.Preoperatively,three-dimensional visualization technology is used to obtain precise anatomical information to guide preoperative planning.Intraoperatively,appropriate body positioning and trocar layout are selected.Techniques such as feeding vessel occlusion and hepatic inflow occlusion are comprehensively utilized to effectively control bleeding.Based on the tumor's location,size,and relationship with major blood vessels,enucleation or anatomical resection is reasonably selected.Combined with the improvement of the surgical approach and intraoperative indocyanine green(ICG)navigation,efforts are made to safely and precisely resect the hepatic hemangioma while maximizing the preservation of normal liver parenchyma.关键词
机器人肝切除/肝血管瘤/三维可视化/血流阻断/荧光导航Key words
robotic hepatectomy/hepatic hemangioma/three-dimensional visualization/blood flow occlusion/fluorescence navigation分类
医药卫生引用本文复制引用
金仁安,梁霄..机器人辅助手术治疗肝血管瘤技术要点与难点[J].中国实用外科杂志,2026,46(3):323-326,4.基金项目
浙江省科技厅"领雁"计划项目(No.2024C03049) （No.2024C03049）
国家自然科学基金项目(No.82472718,No.82573204) （No.82472718,No.82573204）
国家卫健委-浙江省卫生健康重大科技计划重大项目(WKJ-ZJ-2407) （WKJ-ZJ-2407）
浙江省基础公益计划项目(No.LGC22H160001) The"Leading Goose"Project of the Science and Technology Department of Zhejiang Province(No.2024C03049) （No.LGC22H160001）
National Natural Science Foundation of China(No.82472718,No.82573204) （No.82472718,No.82573204）
Major project of Health Science and Technology Program of Zhejiang Province(No.WKJ-ZJ-2407) （No.WKJ-ZJ-2407）
Zhejiang Provincial Public Welfare Technology Application Research Project(No.LGC22H160001) （No.LGC22H160001）
