腹腔镜解剖性肝段切除治疗肝癌技术要点探讨  

Discussion on the surgical technique of laparoscopic anatomical hepatic segmentectomy for hepatocellular carcinoma

作　　者：蔡守旺[1] 陈继业[1] 韩骏 Cai Shouwang;Chen Jiye;Han Jun(Faculty of Hepato-Pancreato-Biliary Surgery,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心肝胆胰外科医学部,北京100853

出　　处：《中华肝胆外科杂志》2023年第5期321-323,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：随着腹腔镜肝切除技术治疗肝癌近年来不断发展,腹腔镜解剖性肝段切除也日趋成熟,包括解剖性肝段切除、亚段切除及联合肝段切除等。上述手术方式涉及多种技术手段,要求术者不仅熟知肝内解剖,还需具备丰富的腹腔镜超声技术和手术经验。本文将结合临床实践体会,探讨腹腔镜下解剖性肝段切除治疗肝癌的关键技术。With the continuous development of laparoscopic hepatectomy for the treatment of hepatocellular carcinoma in recent years,laparoscopic anatomical hepatic segmentectomy has become increasingly improved,including anatomical segmentectomy,subsegmentectomy and combined segmentectomy.The above surgical procedures involve a variety of technical means,requiring the surgeon to be familiar with intrahepatic anatomy and possess extensive experience in ultrasound technology and laparoscopic surgery.This article discussed the key techniques of laparoscopic anatomical hepatic segmentectomy for hepatocellular carcinoma based on our clinical practice.

关 键 词：肝肿瘤 肝切除术 腹腔镜检查 解剖性肝段切除 吲哚菁绿 

分 类 号：R735.7[医药卫生—肿瘤]