肝癌外科手术切除技术的再认识  

Re-understanding of surgical resection techniques for liver cancer

作　　者：刘青光[1] 宋涛[1] 王欢欢 Liu Qingguang;Song Tao;Wang Huanhuan(Department of Hepatobiliary Surgery,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China)

机构地区：[1]西安交通大学第一附属医院肝胆外科,西安710061

出　　处：《中华消化外科杂志》2024年第1期75-79,共5页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(81874069)。

摘　　要：肝癌目前仍是威胁我国人民生命健康的重大疾病。肝脏储备功能良好的早期肝癌,手术切除仍然是首选治疗手段。在过去的几十年中,随着外科手术理论的完善,手术技巧提高及手术设备的改善,肝癌切除术取得长足发展。但是,目前学术界对是否需选择解剖性肝癌切除、手术切缘如何抉择、肝脏"流域学说"下手术方式的设计、吲哚菁绿荧光成像技术在肝癌切除术中的使用等仍然存在不同认知。笔者全面回顾上述焦点问题的研究现状和肝癌切除术的研究进展,旨在为外科医师选择更安全合理的手术方式提供参考。Liver cancer is still a major disease threatening the lives and health of the Chinese people.For early liver cancer with good liver functional reserve,surgical resection remains as the preferred treatment option.In the past several decades,great advances have been made in hepatectomy because of the refinement of surgical theories,advancements in surgical techniques,and improvements in surgical equipment.However,there are still different understandings in the academic community regarding whether to choose anatomic liver resection,how to choose the surgical margin,the design of surgical methods under the liver"territory theory",and the use of indocyanine green fluorescence imaging technology in liver cancer resection.The authors comprehensively review the current researches on the above issues and the research progress in hepatectomy for liver cancer,aiming to provide references for clinicians to optimize the surgical procedure.

关 键 词：肝肿瘤 解剖性肝切除 手术切缘 流域学说 吲哚菁绿荧光成像 

分 类 号：R735.7[医药卫生—肿瘤]