腹腔镜解剖性肝段切除治疗肝癌技术要点探讨

Discussion on the surgical technique of laparoscopic anatomical hepatic segmentectomy for hepatocellular carcinoma

随着腹腔镜肝切除技术治疗肝癌近年来不断发展,腹腔镜解剖性肝段切除也日趋成熟,包括解剖性肝段切除、亚段切除及联合肝段切除等。上述手术方式涉及多种技术手段,要求术者不仅熟知肝内解剖,还需具备丰富的腹腔镜超声技术和手术经验。本文将结合临床实践体会,探讨腹腔镜下解剖性肝段切除治疗肝癌的关键技术。

With the continuous development of laparoscopic hepatectomy for the treatment of hepatocellular carcinoma in recent years,laparoscopic anatomical hepatic segmentectomy has become increasingly improved,including anatomical segmentectomy,subsegmentectomy and combined segmentectomy.The above surgical procedures involve a variety of technical means,requiring the surgeon to be familiar with intrahepatic anatomy and possess extensive experience in ultrasound technology and laparoscopic surgery.This article discussed the key techniques of laparoscopic anatomical hepatic segmentectomy for hepatocellular carcinoma based on our clinical practice.