围肝门外科术前评估策略和术中处理技术  

Preoperative assessment strategy of perihilar surgery

作　　者：陆宏伟[1] 卢乐[1] 石夏荔 LU Hongwei;LU Le;SHI Xiali(Department of General Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China;Department of Anesthesiology and Operation, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China)

机构地区：[1]西安交通大学第二附属医院普通外科,陕西西安710004 [2]西安交通大学第二附属医院麻醉手术科,陕西西安710004

出　　处：《西部医学》2020年第9期1249-1253,共5页Medical Journal of West China

基　　金：陕西省重点研发项目(2020SF-058);陕西省自然科学基金(2018JM7034);西安交通大学基本科研业务费交叉合作项目(1191320139)。

摘　　要：目前肝切除已成为绝大多数肝胆良恶性病变的首选治疗方式。在精准外科理念指导下,围肝门外科技术取得了长足发展,因此也对围肝门外科的术前评估和术中处理提出了更高的要求。本文就如何精准实施目标病灶的定位、定量和定构及术中处理评估作一述评,以实现精准肝切除中外科治疗的确定性、预见性和可控性。Hepatectomy has been the prior option for the treatment of most benign and malignant hepatobiliary diseases.Under the guidance of the concept of precision surgery,great progress has been made in the perihilar surgical techniques,which sets a higher request on the preoperative assessment and intraoperative management of perihilar surgery.The present article reviews the precise approaches of the assessment of localization,quantitation and structure of target lesions,so as to achieve the certainty,predictability and controllability of precision in liver surgery.

关 键 词：围肝门外科 术前评估 术中处理 肝切除术 述评 

分 类 号：R575[医药卫生—消化系统]