摘要
随着技术的不断发展,肝胆外科手术已迈入微创时代。解剖性肝切除是微创肝切除术理念的具体应用。随着腔镜技术的突飞猛进和肝脏动态流域学说的进一步发展,解剖性肝切除术实施的必要性愈加凸显。但是,精确界定肝切除的解剖范围和具体的解剖标志依然缺乏。因而,笔者总结归纳解剖性肝切除临床实施过程中的关键点、线、面,旨在为临床实践腹腔镜肝切除指引更为精确的解剖界限,便于解剖性肝切除术的规范与技术推广。
With the continuous development of hepatobiliary surgery technology,it has entered the era of minimally invasive surgery.Anatomical liver resection is the soul of the clinical application of minimally invasive liver resection.With the rapid development of laparoscopic technology and the further development of the dynamic watershed theory of the liver,the necessity of anatomical liver resection has become increasingly prominent.However,there is still a lack of precise definition of the anatomical scope and specific anatomical landmarks for liver resection.Therefore,we clinically summarize the key points,lines and planes in the implementation process of anatomical liver resection,aiming to guide more precise anatomical boundaries for the clinical practice of laparoscopic liver resection and facilitate the standardization and technical promotion of anatomical liver resection.
作者
陈超波
余德才
Chen Chaobo;Yu Decai(Department of General Surgery,Xishan People′s Hospital of Wuxi City,214105,China;Department of Hepatobiliary and Liver Transplantation Surgery,Drum Tower Hospital Affiliated to Nanjing University School of Medicine,210008,China)
出处
《中华腔镜外科杂志(电子版)》
2024年第6期321-328,共8页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
国家自然科学基金(82372834,82173129)
南京鼓楼医院临床研究专项资金面上项目(2021-LCYJMS-12)
无锡市卫生健康委中青年拔尖人才资助计划(HB2023116)。
关键词
解剖性肝切除
腹腔镜
关键点
关键线
手术入路
Anatomical liver resection
Laparoscopy
Key point
Key line
Surgical approach
