精准肝脏外科的现代理念与临床实践

Modern concept and clinical practice of precise liver surgery

近年来，随着生物医学的不断发展、对人体生理功能和疾病病理特性的深刻认知以及现代医学影像技术的进步和计算机辅助外科技术的临床应用，传统粗放外科模式正在向现代精准外科模式转变。在肝脏外科领域，精准外科理念已经引发了以现代科技与传统外科整合应用和集成创新为特征的技术革命。

The principles of ＂precise liver surgery＂ include to absolutely clearing target lesions, ensuring structural integrity of residual liver, maximizing the volume of remnant liver, controlling bleed as well as minimizing hepatic parenchy- mal damage and surgical invasiveness. This theory serves the whole procedure of liver surgery for the optimal recovery of patients. The major strategies consist of accurate preoperative evaluation： rigorous surgical planning, refined surgical operation and meticulous perioperative care. The construction of ＂recise liver surgery＂ system requires the combination of modern techno- logy and traditional surgery, and the breakthrough in the core theory and key techniques of liver surgery.