摘要
近20年来,无论是应用基础研究的前进与突破、医疗器械的发明和更新,还是微创技术的普及与提高、创新手术方式的开展与争论,抑或是专业诊疗规范的建立及推广,均带给传统的肝脏外科前所未有的发展动力.本文结合国内外相关文献及本团队研究成果,就肝脏外科手术术前评估及手术规划、肝切除技术、腹腔镜和机器人技术在肝脏外科的应用、加速康复外科在肝脏外科围手术期的应用以及肝脏外科的争议手术——联合肝脏分隔和门静脉结扎的二步肝切除术的研究现状及进展做简要探讨.
In the past 20 years,the advancement and breakthrough of applied basic research,the invention and renewal of medical devices,the popularization and improvement of minimally invasive techniques,the development and debate of innovative surgical methods and the establishment of the diagnosis and treatment standard brought the unprecedented development momentum to traditional liver surgery.This article combined the domestic and foreign related literature and the research results of our team. The current status and progress of the application of preoperative evaluation and surgical planning of liver surgery,surgical techniques of liver resection,laparoscopic and robotic techniques in liver surgery,enhanced recovery after surgery and associating liver partition and portal vein ligation for staged hepatectomy are briefly discussed.
作者
张伟
陈孝平
Zhang Wei;Chen Xiaoping(Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science andTechnology, Wuhan 430030,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2019年第7期488-493,共6页
Chinese Journal of Surgery
关键词
肝脏外科
外科手术
计算机辅助
血流阻断
肝实质离断
腹腔镜
机器人
加速康复外科
Liver surgery
Surgery,computer-assisted
Vascular occlusion
Liver parenchymal dissection
Laparoscopic
Robotic
Enhanced recovery after surgery
