浅谈肝蒂优先入路的腹腔镜解剖性肝切除术  

A brief discussion of Glisson pedic-first approach in laparoscopic anatomical hepatectomy

作　　者：曾永毅 罗柳平 Zeng Yongyi;Luo Liuping(Department of Hepatobiliary and Pancreatic Surgery,Mengchao Hepatobiliary Hospital of Fujian Medical University,Fuzhou 350046,China)

机构地区：[1]福建医科大学孟超肝胆医院肝胆胰外科,福州350046

出　　处：《中华肝胆外科杂志》2023年第7期481-485,共5页Chinese Journal of Hepatobiliary Surgery

基　　金：国家重点研发计划(2022YFC2407304)。

摘　　要：随着对肝脏解剖认识的不断提高及外科技术的进步,腹腔镜肝切除快速发展,尤其是腹腔镜解剖性肝切除已成为常用的手术方式之一。肝蒂的解剖及处理是腹腔镜解剖性肝切除核心技术之一。Glisson肝蒂入路在开放性和腹腔镜解剖性肝切除术中得到了广泛的应用,尤其在腹腔镜肝切除中,但可能的优势仍在争论中,且迄今尚无肝蒂解剖的标准手术入路。本文介绍了Glisson肝蒂入路、肝蒂优先入路的腹腔镜解剖性肝切除的优势及临床应用等。With the continuous in-depth understanding of liver anatomy and the progress of surgical techniques,laparoscopic hepatectomy has been developed rapidly,especially the laparoscopic anatomic hepatectomy has become the most commonly surgical method.The dissection and treatment of liver Glisson pedicle is the core techniques of laparoscopic anatomic hepatectomy.The Glisson hepatic pedicle approach has been widely used in open and laparoscopic anatomical hepatectomy,especially in laparoscopic hepatectomy.The possible advantages over the traditional approach are still under debate,and there is no standard surgical approach for pedicle dissection to date.This article introduces Glisson pedicle approach and the advantages and clinical application of laparoscopic anatomical hepatectomy with Glisson pedicle approach.

关 键 词：肝切除术 腹腔镜检查 肝脏解剖 Glisson肝蒂 手术入路 

分 类 号：R657.3[医药卫生—外科学]