腹腔镜肝切除手术技术新进展

New Advances in Laparoscopic Hepatectomy Technique

腹腔镜肝切除术因其具有创伤小、对机体生理干扰小和术后康复快等优点,现已被全球广大肝外科医生认可和广泛推广。目前在多种疾病和多项手术方式中已经证实了其有效性和安全性。随着理念不断更新与器械更新迭代,腹腔镜肝切除手术技术仍在持续完善和进步中,本文就腹腔镜肝切除手术技术,从体位、Trocar及手术入路、术前数字化评估与规划和术中超声应用、切肝平面的掌握、吲哚氰绿(ICG)荧光染色应用和麻醉配合等几个方面做一综述。

Laparoscopic hepatectomy has been widely accepted and widely spread by the liver surgeons worldwide with the advantages of minimal trauma,small physical interference and fast recovery.At present,it has proved its efficacy and safety in many liver diseases and many hepatic procedures.With the renewal of the idea,the iteration of the apparatus,the technique of laparoscopic hepatectomy is still continuously improving and progressing.This article reviews the surgical techniques from the position,trocar and approach,preoperative digital evaluation and planning and intraoperative ultrasound application,liver resection plane,ICG(Indocyanine Green)fluorescent staining application,anesthesia coordination and so on.