倡导精准肝脏外科重现普罗米修斯神话  

To advocate precise hepatectomy and recreate the legend of Prometheus

作　　者：董家鸿[1] 黄志强[1] 

机构地区：[1]解放军总医院肝胆外科医院、全军肝胆外科研究所,北京100853

出　　处：《中华消化外科杂志》2010年第1期4-5,共2页Chinese Journal of Digestive Surgery

基　　金：基金项目：国家传染病防治科技重大专项（2008ZX10002-26）

摘　　要：从古至今，深藏于腹腔内的肝脏都笼罩着神秘的色彩。古代巴比伦人将肝脏视为灵魂栖所，盛行肝卜。古希腊神话中有普罗米修斯的肝脏被神鹰啄食后神速复原的典故，是人类对肝脏神秘功能的早期推断。中医学认为，“肝藏血，血舍魂”，“肝者，罢极之本，魂之居也”，“神在天为风，在脏为肝”，意即肝是五脏精气化生的中枢，主导着生命活动的升发与循环。From ancient to present, liver has always been a mystery and magical organ. As the largest glandular organ of the body, liver has many vital functions. Its regenerative capabilities and functional reservation allow major resection of up to 80% of its volume. Many diseases, such as liver cancer, cirrhosis and hepatolithiasis can affect liver, and the mainstay of curative treatment is liver resection. Technological advances play an important role in modern surgery, and a new surgical paradigm characterized by precision has evolved. Recently, we have advocated the concept of ＂precise hepatectomy＂ on the basis of modern anatomy, physiology, oncology, imaging and surgical techniques, which is characterized by minimal invasion, liver- saving and maximally restoration of liver function. Related sub- jects, including computer sciences, imaging and information are needed to be combined to create a new alliance of treatment. Although, there are still many theoretical and technical problems about liver resection and liver function preservation. With the development of science and technology, precise hepatectomy will further improve the outcomes of liver surgery.

关 键 词：精准肝切除 肝脏外科 

分 类 号：R657.3[医药卫生—外科学]