摘要
经过20多年发展,腹腔镜肝切除技术已经成熟。我们根据腹腔镜肝切除普及程度、切除范围、出血量等,将中国腹腔镜肝切除划分为以下4个阶段:腹腔镜肝切除探索期、成长期、推广期、成熟期。目前腹腔镜肝段及联合肝段切除、巨大肝癌切除已经成为常规手术。术中超声与荧光染色技术也得到普及。腹腔镜肝癌切除术后的预后也得到证实。如何规范我国的腹腔镜肝切除将会成为我们重要的工作方向。本文就上述问题做一概述,并对腹腔镜肝切除未来发展提出思路,以期进一步推动我国腹腔镜肝切除的技术进步。
With the development and promotion of laparoscopic technology in liver resection,Laparoscopic liver resection(LLR),has become a feasible choice for various kinds of liver lesions over the last 20 years.Based on the popularity,resection range and the amount of bleeding of LLR,we staged the following four periods:exploratory stage,growth stage,promotion stage and maturity stage.LLR for segment and combined segment,giant liver cancer has been become a routine operation.Intraoperative ultrasound and fluorescence staining of liver tumors improve the visualization of liver tumors during surgery.The prognosis of LLR has been also confirmed when compared with open surgery.In the future,standardization of LLR will become an important issue.This article summarized all of above issues and proposed the trends of future laparoscopic liver resection,so as to promote the technical progress of laparoscopic liver resection in China.
作者
陈孝平
张万广
Chen Xiaoping;Zhang Wanguang(Hepatic Surgery Center,Wuhan Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430030,China)
出处
《中华普外科手术学杂志（电子版）》
2021年第4期355-358,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
国家感染性疾病重大防治专项项目(2018ZX10723-204-003-002)
国家十二五科技重大专项(2012X10002016-004)。
关键词
癌
肝细胞
肝切除术
腹腔镜
Carcinoma,hepatocellular
Hepatectomy
Laparoscopes
