腹腔镜肝切除术——微创外科时代的选择

Laparoscopic hepatectomy: the choice in the era of minimally invasive surgery

自1991年Reich首次完成腹腔镜肝切除术(LH)以来,随着外科医生技术水平不断提高以及器械工艺的技术变革,LH得以实现快速发展。探讨了LH的安全性及有效性,三维可视化、3D打印及3D腹腔镜对精准肝切除的临床指导价值,LH术中出血的控制以及机器人肝切除的安全性及有效性。

Since Reich completed the first laparoscopic hepatectomy（ LH） in 1991,LH has been developed rapidly with the continuous improvement of surgeons＇ technique and the technological changes in devices and related processes. This article elaborates on the safety and efficacy of LH,the value of 3D visualization,3D printing technology,and 3D laparoscopic technology in guiding precise hepatectomy,control of hemorrhage during LH,and safety and efficacy of robotic hepatectomy.