Laennec膜入路机器人肝右前叶(S5/8段)切除术

Laennec approach robotic resection of the right anterior lobeof the liver

该视频是1例明显肝硬化背景的原发性肝癌,肿瘤紧邻肝中静脉、肝右静脉、右前肝蒂,肿瘤具有包膜,未见脉管癌栓。充分术前评估后,予以施行机器人肝右前叶(S5/8)段切除。术中采用经前裂、经laennec膜人路,沿laennec膜显露右前肝蒂、肝中静脉、肝右静脉,完整切除肝右前叶。该患者肝硬化明显,肿瘤位置特殊,操作复杂。手术解剖层面清晰、管道结构完整显露,残肝流人流出道保护完好,体现了达芬奇手术机器人系统在复杂肝切除手术中明显的技术优势。

This video shows a case of primary liver cancer with obvious liver cirrhosis background.The tumor is close to the middle hepatic vein,right hepatic vein,and right anterior hepatic pedicle.After adequate preoperative evaluation,robotic right anterior lobe(S5/8)segmentectomy was performed.During the operation,the robot's high-definition magnified field of view and the advantages of the instruments were fully utilized,and the right anterior hepatic pedicle,middle liver,and right hepatic vein were exposed through the trans-laennec membrane approach,and the right anterior lobe of the liver was completely resected.It reflects the obvious technical advantages of the da Vinci surgical robot system in complex liver resection.