腹腔镜肝切除术治疗肝脏Ⅵ、Ⅶ和Ⅷ段肿瘤的研究进展  

Research advances of laparoscopic hepatectomy in the treatment of liver tumors of Ⅵ, Ⅶ and Ⅷ segments

作　　者：胡臣 李星逾 张新俊 费振浩 陈业盛 孙志为 Hu Chen;Li Xingyu;Zhang Xinjun;Fei Zhenhao;Chen Yesheng;Sun Zhiwei(Department of Hepatobiliary and Pancreatic Surgery,the Affiliated Hospital of Kunming University of Science and Technology,the First People's Hospital of Yunnan Province,Kunming 650032,China)

机构地区：[1]昆明理工大学附属医院(云南省第一人民医院)肝胆胰外科,昆明650032

出　　处：《中华肝胆外科杂志》2023年第11期862-865,共4页Chinese Journal of Hepatobiliary Surgery

基　　金：云南省医学领军人才(NO.L-2017016);吴阶平医学基金(320.6750.19088-40)。

摘　　要：腹腔镜肝切除术已常规应用于肝脏的所有肿瘤,但对于肝脏Ⅵ、Ⅶ和Ⅷ段的肿瘤(本文称为肝脏特殊位置肿瘤)由于解剖位置深后,腹腔镜肝切除术在手术视野及手术操作方面存在一定的困难。在不断的经验积累过程中,肝胆外科医生探索了不同的手术体位、手术方式以及手术路径去解决所遇到的困难。对于肝脏特殊位置的肿瘤,选择常规腹腔镜技术、变换手术体位、胸腔镜或联合腹腔镜技术和腹膜后腹腔镜技术行肿瘤的切除,这些手术方式都是有效可行的,均有各自的优势。Laparoscopic hepatectomy has been routinely used in all tumor types of the liver,but for tumors in theⅥ,ⅦandⅧsegments of the liver(referred to as tumors in a special position of the liver in this paper),laparoscopic hepatectomy has some difficulties in aspect of vision and operation due to the deep anatomical position.In the process of continuous experience accumulation,hepatobiliary surgeons have explored different surgical positions,surgical methods and surgical paths to solve the encountered difficulties.For tumors located in a special position of the liver,conventional laparoscopy,change of surgical posture,thoracoscopic or combined laparoscopy and retroperitoneal laparoscopy are effective and feasible.All of them have their own advantages.

关 键 词：肝肿瘤 腹腔镜肝切除术 特殊位置 胸腔镜肝切除术 腹膜后腹腔镜肝切除术 

分 类 号：R735.7[医药卫生—肿瘤]