摘要
腹腔镜肝右后区切除术是难度较高的大范围肝切除术式之一。须熟悉Rouviere沟、肝后下腔静脉间隙和下腔静脉旁间隙等解剖结构,选择适当的手术体位、手术入路、断肝平面、肝血流控制方式,制定流程化的手术思路。这一系列策略和措施可以降低手术难度,缩短学习曲线,同时减少手术中转开腹和术中输血的发生,达到腹腔镜右后区切除术的同质化,最终使病人获益。
Laparoscopic right posterior resection of the liver is one of the most difficult surgical procedures for major liver resection. Through the anatomical application of Rouviere’s sulcus,posterior inferior hepatic vena cava and inferior vena cava periventricular space,the appropriate surgical position,surgical approach,liver parenchyma incision plane,liver blood flow control methods and the procedure of surgical procedure were established. The series of strategies and measures can reduce the learning curve,reduce the difficulty of surgery,while reducing the transfer rate and transfusion rate of the operation,to achieve the training of laparoscopic right posterior resection homogenization,and ultimately benefit most patients.
作者
陈亚进
陈捷
CHEN Ya-jin,CHEN Jie.(Department of Hepatobiliary Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou510120,Chin)
出处
《中国实用外科杂志》
CSCD
北大核心
2018年第4期372-375,共4页
Chinese Journal of Practical Surgery
关键词
腹腔镜
肝右后区切除术
手术路径
laparoscopic
right posterior sectioniectomy
surgical approach