中国腹腔镜肝癌手术20年演变历程与成就  

Evolution and achievements of laparoscopic hepatocellular carcinoma in China over the past 20 years

作　　者：叶于富[1] 陈伟[1] 白雪莉[1] Ye Yufu;Chen Wei;Bai Xueli(Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital,Zhejiang University School of Medicine,Zhejiang Provincial Clinical Research Center for the Study of Hepatobiliary&Pancreatic Diseases,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属第一医院肝胆胰外科,浙江省肝胆胰疾病临床医学研究中心,杭州310006

出　　处：《中华普外科手术学杂志（电子版）》2021年第4期363-368,共6页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金面上项目(81871925,82071867);浙江省重点研发计划项目(2020C03117);浙江省卫生高层次创新人才培养项目。

摘　　要：随着技术进步和经验积累,腹腔镜肝切除已经成为标准术式。中国是肝癌大国,近20年来,腹腔镜肝癌手术跨越“理念和技术双重障碍”,历经探索、发展和优化,从最初的边缘楔形切除发展到半肝切除、扩大半肝切除、肝中叶切除、再到精准解剖性肝切除,其技术方法不断完善,标准化操作体系初步形成,从外科学和肿瘤学角度,都被证实能给患者带来“微创和生存双重优势”。如今,手术相关技术日新月异,系统治疗药物层出迭见,新的格局新的挑战,中国腹腔镜肝癌手术正大踏步进入新的时代,未来可期。With progress of technique and accumulation of experience,laparoscopic liver resection(LLR)has become a standard operation.China is a country with high incidence of hepatocellular carcinoma(HCC).In the past 20 years,LLR has overcome“double barriers of concept and technique”.After exploration,development and optimization,it evolves from initial wedge resection to hemihepatectomy,extended hemihepatectomy,mesohepatectomy,followed by precise anatomical hepatectomy.With the continuous improvement of technical approaches,the standardized operation system of LLR has preliminarily taken shape.From the perspectives of surgical and oncological view,it has been proven to bring“dual advantages of minimal invasion and survival”to patients.At present,surgical techniques develop with each passing day,and systemic therapeutic drugs emerge in an endless stream.Along with new pattern and new challenge,China’s laparoscopic liver resection for HCC is striding into a new era with a brilliant future.

关 键 词：癌 肝细胞 肝切除术 腹腔镜 解剖性肝切除 

分 类 号：R73[医药卫生—肿瘤]