全腹腔镜下超左半肝切除术  

Total laparoscopic extended left hepatectomy

作　　者：郑树国[1] 李建伟[1] 李剑斌[1] 冯晓彬[1] 别平[1] 王曙光[1] 

机构地区：[1]第三军医大学西南医院全军肝胆外科研究所、中国人民解放军西南肝胆外科医院,重庆400038

出　　处：《中华消化外科杂志》2008年第1期66-68,共3页Chinese Journal of Digestive Surgery

摘　　要：近年来，随着腹腔镜技术的进步和专用手术器材的发展，腹腔镜肝切除的范围已由肝缘、浅表病变的局部切除扩大到半肝乃至更大范围的肝切除。尤其是腹腔镜技术和肝外科技术的有机整合使全腹腔镜下超半肝切除术的实施成为可能。我们在连续完成包括全腹腔镜下右半肝切除在内的一系列腹腔镜肝切除术的基础上，对1例左肝肝细胞癌患者成功实施了全腹腔镜下超左半肝切除术。现将手术入路和技术要点报道如下。The combination of laparoscopic technique and hepatic surgery makes total laparoscopic extended left hepatectomy feasible. We summarize the experience of one patient with hepatic cellular carcinoma who underwent total laparoscopic extended left hepatectomy. The key points for total laparoscopic extended left hepatectomy are to effectively control blood loss during liver parenchyma transection by blocking hepatic inflow and outflow of the left lobe and to prevent the injury of the right anterior hepatic pedicle.

关 键 词：腹腔镜 超左半肝切除术 

分 类 号：R657.3[医药卫生—外科学]