腹腔镜肝脏尾状叶切除术中国专家共识(2024版)  

作　　者：中国研究型医院学会微创外科学专业委员会 孙栋[2] 胡春晓[2] 展翰翔 樊知遥 胡三元[3] 刘荣 

机构地区：[1]不详 [2]山东大学齐鲁医院 [3]山东大学齐鲁医院普外科,250012 [4]中国人民解放军总医院第一医学中心肝胆胰外科医学部,100853

出　　处：《腹腔镜外科杂志》2024年第12期881-888,共8页Journal of Laparoscopic Surgery

摘　　要：肝脏尾状叶为肝脏最深、解剖最复杂的肝段,曾一度被称为肝脏外科最后的“堡垒”。随着腹腔镜肝脏切除技术的提高,腹腔镜肝脏尾状叶切除术(LCL)国内报道逐渐增多,但手术治疗尚未形成规范。为规范LCL,中国研究型医院学会微创外科学专业委员会组织我国肝胆外科领域专家展开深入讨论,在总结临床经验和相关文献基础上,从肝脏尾状叶解剖、LCL适应证、术前准备与规划、手术团队建立及学习曲线、患者体位、穿刺布孔、手术入路、术中术后并发症及处理等多方面提出了建议,制订了《腹腔镜肝脏尾状叶切除术中国专家共识(2024版)》,旨在促进LCL的规范化和流程化开展,并为LCL临床规范应用的高级别循证医学证据提供指导性意见。The caudate lobe is the deepest and most anatomically complex segment of the liver,often referred to as the"last fortress"in liver surgery.Reports on laparoscopic caudate lobectomy(LCL)in China are limited,and standardized surgical protocols have not yet been established.To address this,the Minimally Invasive Surgery Committee of the Chinese Research Hospital Association convened experts in hepatobiliary surgery to conduct an in-depth discussion.Based on clinical experience and a review of relevant literature,the committee proposed recommendations covering the anatomy of the caudate lobe,indications,preoperative preparation and planning,surgical team and learning curve,patient positioning and trocar placement,surgical approaches,as well as intraoperative and postoperative complications and their management.These efforts led to the formulation of the Chinese Expert Consensus on Laparoscopic Caudate Lobectomy(2024 Edition).The consensus aims to standardize and streamline the application of LCL and provide high-level evidence-based guidance for its clinical implementation.

关 键 词：肝脏尾状叶 腹腔镜检查 操作流程 专家共识 

分 类 号：R47[医药卫生—护理学]