腹腔镜活体肝移植供肝切取关键技术  

Key technique of laparoscopic living donor hepatectomy for liver transplantation

作　　者：曾勇[1] 杨家印[1] 廖明恒[1] 吴泓[1] 

机构地区：[1]四川大学华西医院肝脏外科及肝脏移植中心,四川成都610041

出　　处：《中国实用外科杂志》2017年第5期500-504,共5页Chinese Journal of Practical Surgery

基　　金：四川省科技厅重大专项(No.2015Y0056);四川省科技厅重点研发项目(No.2017SZ0003)

摘　　要：腹腔镜下活体肝移植取肝技术难度大,学习曲线长。以微创化和安全性两方面作为基本点,手术方案规划应更细致。术前精密的影像学评估,术中肝脏游离、肝门处理、肝实质离断等方面技巧把握均必不可少。尽管供体取肝手术在向微创化转变,但外科医师还是应灵活选择开腹手术、全腹腔镜下供肝切取术和腹腔镜下手辅助供肝切取手术,以确保供体安全。Laparoscopic living donor hepatectomy is difficult, has long learning curve. Minimally invasive and security as the basic point of two, the surgical procedure should be more detailed planning.It is necessary to perform a precise imaging evaluation before operation, and grasp the skills of intraoperative liver free, hilar treatment, parenchyma dissection and other technical aspects. In spite of the trend towards minimally invasive donor hepatectomy, surgeons should be flexible to choose open operation surgery, pure laparoscopic and laparoscopy-assisted liver graft harvest,in order to ensure the safety of the donor.

关 键 词：腹腔镜 活体肝移植 肝切除术 

分 类 号：R6[医药卫生—外科学]