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经肝动脉途径荧光染色在锥形单位肝切除术中的应用 被引量:4

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摘要 1998年的高崎健(Ken Takasaki)教授提出了经典的基于Glissonean树各级分支支配区域的新肝脏解剖分段方法,并首次阐述了Glissonean系统三级或以上分支供应的区域为一个锥形单位(cone unit),而每个肝段是由6~8个锥形单位组成[1]的学说.基于该理念的经第一肝门入路或经肝实质入路的Glissonean蒂横断式解剖性肝切除术(见图1[2])在此后的30多年间广泛开展应用.目前研究表明与常规经第一肝门鞘内入路相比,在掌握Leannec膜解剖基础上的经Glissonean鞘外入路对于微创解剖性肝切除是安全可行的,尤其在解剖性肝段或肝亚段切除中具有手术时间更短、失血量更少,围术期并发症更少等优势[2~4].
出处 《肝胆外科杂志》 2021年第5期390-393,共4页 Journal of Hepatobiliary Surgery
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