腹腔镜供肝获取手术的发展与展望  

Development and prospect of laparoscopic living donor hepatectomy

作　　者：李书乐 陆录 LI Shule;LU Lu(Hepatobiliary Surgery Center,Department of General Surgery,Huashan Hospital,Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院普外科肝胆外科中心,上海200040

出　　处：《外科理论与实践》2024年第2期121-125,共5页Journal of Surgery Concepts & Practice

摘　　要：近年来,得益于微创外科技术的进步,腹腔镜供肝获取手术(LLDH)得到了迅速的发展。从2002年该项技术首次报道以来,各大移植中心一直在不断探索发展和积累经验。相比于传统的开放手术,该项技术有着创伤小、术中出血少、术后并发症发生率低等优点。但同时,在热缺血时间管理、克服学习曲线、避免胆道并发症以及出血控制等方面存在着一定的难点,仍需更多的探索以解决这些问题。一些新技术和新方法的应用也使该项技术更加安全、高效。本文从LLDH的发展历程、手术难点和并发症、技术改进等三个方面进行讨论,并展望该项技术的未来前景和发展方向。In recent years,benifit by the advancement of minimally invasive surgical techniques,laparoscopic living donor hepatectomy(LLDH)has experienced rapid development.Since this technology was first reported in 2002,major transplant centers have been continuously developing and accumulating experience.Compared with traditional open surgery,LLDH has advantages such as less trauma,less intraoperative bleeding,and lower incidence of postoperative complications.However,at the same time,there were certain difficulties in managing,such as,warm ischemia time,overcoming learning curves,avoiding biliary complications,and controlling bleeding,still needed to be solved.The application of some new technologies and surgical methods also made this technology more efficient and safer.This article discussed the development history,surgical difficulties and complications,and technical improvements of LLDH,and looked forward to the future prospects and development directions of this technology.

关 键 词：腹腔镜供肝获取 活体肝移植 热缺血时间 胆道并发症 

分 类 号：R657.3[医药卫生—外科学]