腹腔镜肝尾状叶切除术的临床应用  

Clinical application of laparoscopic caudate lobe resection

作　　者：马子慧 郭卫星 Zihui Ma;Weixing Guo(Department Ⅵ of Hepatic Surgery,the Third Affiliated Hospital of Naval Medical University,Shanghai 201805,China)

机构地区：[1]海军军医大学附属第三附属医院肝外六科,上海201805

出　　处：《中华肝脏外科手术学电子杂志》2025年第1期36-40,共5页Chinese Journal of Hepatic Surgery(Electronic Edition)

基　　金：上海市计生委智慧医疗专项研究项目(2018ZHYL0212)。

摘　　要：腹腔镜肝尾状叶切除被认为是一种极具挑战性的肝脏手术,该手术的难度主要与尾状叶的解剖位置及其毗邻肝内外主要血管密切有关,包括下腔静脉、肝中静脉和肝右静脉以及门静脉等重要血管。手术过程中极易导致大量出血,因此肝尾状叶切除一直被认为是肝外科的“皇冠”。近年来,随着外科医师对尾状叶解剖的精确认识、微创外科技术的不断提升、医疗影像与仪器设备的快速发展、围手术期护理的逐步改进,腹腔镜肝尾状叶切除术在国内较大的肝胆外科中心已得到逐步推广应用。本文对腹腔镜肝尾状叶切除的临床应用进展进行综述,为腹腔镜肝尾状叶切除术的临床应用提供参考。Laparoscopic caudate lobe resection is considered as an extremely challenging liver surgery,primarily due to the anatomical position of caudate lobe and adjacent major intrahepatic and extrahepatic vessels,including inferior vena cava,middle hepatic vein,right hepatic vein and portal vein,etc.The risk of intraoperative bleeding is high.Consequently,caudate lobe resection has been considered as the most challenging procedure of liver surgery.In recent years,with surgeons'in-depth understanding of caudate lobe anatomy,persistent improvement of minimally invasive surgical technology,rapid development of medical imaging and equipment and gradual improvement of perioperative nursing,laparoscopic caudate lobe resection has been gradually applied in large-scale hepatobiliary surgery centers in China.In this article,the progress in clinical application of laparoscopic caudate lobe resection was reviewed,aiming to provide reference for clinical application of laparoscopic caudate lobe resection.

关 键 词：腹腔镜 肝切除术 尾状叶切除术 

分 类 号：R47[医药卫生—护理学]