腹腔镜下肝右后叶切除术的体位综述  

Review of surgical postures for laparoscopic right posterior sectionectomy

作　　者：朱常琰 付志强 胡玉秋 段金鑫 郑楚莲[3] 周泉波 Changyan Zhu;Zhiqiang Fu;Yuqiu Hu;Jinxin Duan;Chulian Zheng;Quanbo Zhou(Department of Biliary and Pancreatic Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China;Department of Breast Surgery,the Eighth Affiliated Hospital,Sun Yat-sen University,Shenzhen 518033,China;Operating Room,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China;Department of Pancreatic Surgery,Guangdong General Hospital,Guangzhou 510000,China)

机构地区：[1]中山大学孙逸仙纪念医院胆胰外科,广州510120 [2]中山大学附属第八医院乳腺外科,深圳518033 [3]中山大学孙逸仙纪念医院手术室,广州510120 [4]广东省人民医院胰腺外科,广州510000

出　　处：《中华肝脏外科手术学电子杂志》2024年第2期231-234,共4页Chinese Journal of Hepatic Surgery(Electronic Edition)

基　　金：国家自然科学基金面上项目(82073149);广东省基础与应用基础研究基金省企联合项目(2022A1515220219)。

摘　　要：进入微创外科时代以来,腹腔镜下肝右后叶切除术(LRPS)因为手术难度高,术中显露病灶困难,手术切除创面大,故较其它腹腔镜下肝叶切除术发展缓慢。手术体位的选择和Trocar孔的布局可以充分暴露术区,为手术成功提供保障。本综述总结了LRPS不同手术体位特点和各个体位下手术时间、术中出血、术后住院时间、术后并发症的比较以及不同体位下术区暴露技巧的运用。鉴于国内还未将LRPS的手术体位标准化,笔者希望跟各位同仁分享关于LRPS下不同手术体位的经验,为各位医师选择合适的手术体位施行LRPS提供参考。Since entering the era of minimally invasive surgery,laparoscopic right posterior sectionectomy(LRPS)has gained slower growth compared with other laparoscopic liver resections due to high surgical difficulty,challenges in intraoperative exposure of the lesions and large wound area.The selection of surgical posture and the distribution of Trocar site can fully expose surgical area and ensure the surgical success.In this review,the characteristics of different surgical postures of LRPS,the comparison of operation time,intraoperative bleeding,length of postoperative hospital stay and postoperative complications in different postures,and the application of exposure skills in different postures were summarized.In China,surgical postures for LRPS have not been standardized.This review aims to share the experience of LRPS under different surgical postures and provide reference for selecting appropriate surgical postures for LRPS.

关 键 词：腹腔镜 肝切除术 肝右后叶 手术体位 

分 类 号：R657.3[医药卫生—外科学]