合并肝硬化肝癌行腹腔镜肝切除手术技巧

Surgical techniques of laparoscopic hepatectomy for hepatocellular carcinoma and cirrhosis

我国肝癌病人常合并有不同程度的肝硬化,从而在腹腔镜肝切除术(LH)的各个环节给术者造成了额外的手术风险和技术障碍。在病例选择、合理布孔、精准肿瘤定位、恰当切线制定、出入肝血流控制、精细的肝实质离断、积极预防出血等各方面专注于细节优化是对合并肝硬化肝癌病人顺利实施LH的关键。

Patients with liver cancer in China are often combined with varying degrees of liver cirrhosis, which results in additional surgical risks and technical barriers in every aspect of laparoscopic hepateetomy. Appropriate patient selection, reasonable troear placement, sensitive identification and accurate localization of the cancer, correct resection plane, selective hepatic blood inflow control, precise parenchyma transection, actively preventing hacmorrhage are the key techniques of successful laparoscopic hepatectomy for patients with hepatocellular carcinoma and cirrhosis.