头背侧入路腹腔镜肝右后叶切除策略  

Laparoscopic right posterior lobectomy strategy through cranial-dorsal approach

作　　者：周帅[1] 王振兴 李菠 张剑权[1] ZHOU Shuai;WANG Zhenxing;LI Bo;ZHANG Jianquan(Department of Hepatobiliary Pancreatic Surgery,Haikou Hospital,Xiangya Medical College,Central South University,Haikou 570208,P.R.China)

机构地区：[1]中南大学湘雅医学院附属海口医院肝胆胰外科,海口570208

出　　处：《中国普外基础与临床杂志》2023年第7期769-772,共4页Chinese Journal of Bases and Clinics In General Surgery

基　　金：海南省院士创新平台科研专项(项目编号:YSPTZX202027);海口市重点科技计划项目(项目编号:2022-032)。

摘　　要：近年来,腹腔镜解剖性肝切除术得到了长足的发展,但一些复杂部位的解剖性肝切除,如肝右后叶解剖性切除,仍存在一定的技术难度。本中心结合腹腔镜独特的视角以及肝右后叶特殊的解剖结构,提出了头背侧入路解剖性右后叶切除策略。该策略通过点(肝右静脉根部)–线(缺血线/肝右静脉)–面(肝表面缺血线和肝右静脉构成)确定右后叶切除平面,可以达到肝右后叶精准解剖性切除的目的,减少术中并发症发生,而且符合无瘤原则,它为右后叶肿瘤切除提供一种可行和有效的方法选择。Laparoscopic anatomical hepatectomy had developed considerably in recent years,but some complex sites of anatomical hepatectomy,such as anatomical resection of the right posterior lobe of the liver,still presented some technical difficulties.Combining the specific perspective of laparoscope and the particular anatomical structure of the right posterior lobe of the liver,we had proposed a strategy of anatomical right posterior lobe resection via cranial-dorsal approach.The right posterior lobe resection plane was defined by point(right hepatic vein root)—by line(ischemic line/right hepatic vein)—by plane(hepatic surface ischemic line and right hepatic vein composition)to achieve precise anatomical resection of the right posterior lobe of the liver,and could reduce intraoperative complications and comply with the principle of tumour-free. Thus, a strategy of anatomical right posterior lobe resection via cranial-dorsalapproach might provide a feasible and effective option for right posterior lobectomy of the liver.

关 键 词：腹腔镜 右后叶切除 

分 类 号：R657.3[医药卫生—外科学]