摘要
腹腔镜手术具有手术创伤小、术后恢复快等诸多优点,已被广泛地应用于腹部外科疾病的治疗。但腹腔镜肝切除术至今仍不成熟,世界上只有为数不多的医疗中心开展,术中出血及一些严重并发症一直没有得到解决。腹腔镜区域性肝血流阻断术、刮吸解剖断肝术及肝静脉阻断术能减少术中出血,防止气体栓塞的发生,使整个腹腔镜肝切除术安全性的得到大幅度的提高。腹腔镜肝切除已被应用于肝癌的治疗,但需要有前瞻性随机对照研究评价其远期疗效。
Laparoscopic surgery had the advantages of minimal invasion, fast postoperative recovery, and was used in most abdominal surgeries. Laparoscopic liver resection is still in the exploration stage and was performed in a few institution worldwide. Intraoperative bleeding and some severe complication impacted its development. The techniques of laparoscopic selective hepatic inflow occlusion, hepatectomy by curettage and aspiration, and selective hepatic vein occlusion would decrease intraoperative blood loss and prevent gas embolism, increasing the safety of this procedure. Laparoscopic liver resection was used in the treatment of malignant liver tumor. A randomised control trial is needed to evaluate its long time effect.
出处
《中国实用外科杂志》
CSCD
北大核心
2010年第3期176-178,共3页
Chinese Journal of Practical Surgery
关键词
腹腔镜
肝切除
laparoscopic
liver resection
