腹腔镜肝切除手术入路中国专家共识(2023版)

Chinese expert consensus on the surgical approach for laparoscopic hepatectomy(2023 edition)

腹腔镜肝切除术已逐步应用于肝胆外科各种疾病治疗领域。腹腔镜肝切除术的发展即是手术入路的衍化过程。医师经验、肿瘤位置、患者体型和肝脏解剖均是医师选择手术策略和技巧的影响因素。随着腔镜技术的发展,肝切除手术入路也不断更新和衍化。针对腹腔镜肝切除手术入路,国内尚未达成共识。因此,《中华消化外科杂志》编辑委员会组织国内相关领域专家,采用德尔菲法,经过多次研讨制订《腹腔镜肝切除手术入路中国专家共识(2023版)》,旨在规范腹腔镜肝切除手术入路和适用范围。

Laparoscopic hepatectomy has been gradually applied to various diseases in hepatobiliary surgery.The development of laparoscopic hepatectomy is with the evolution of the surgical approach.Physician experience,tumor location,patient size,and liver anatomy influences the strategies and techniques which selected by doctors to resect the lesions.With the development of laparoscopic technology,the approach for laparoscopic hepatectomy has been continuously updated and evolved.There is no consensus on the approach of laparoscopic hepatectomy in China.There-fore,the editorial board of Chinese Journal of Digestive Surgery,organized domestic experts in the related fields to adopt the Delphi method,and repeated discussions,finally confirmed the Chinese expert consensus on the surgical approach for laparoscopic hepatectomy(2023 Edition),aiming to popularize the various surgical approaches for laparoscopic hepatectomy and the scope of applica-tion,and introduce the recommended surgical approaches for the different parts of liver resection.