腹腔镜左半肝联合左尾状叶切除术

Laparoscopic left hemihepatectomy combined with left caudate resection

1.肝门部预置肝门阻断带,必要时行肝门阻断控制出血;2.通过Laennec膜充分暴露并阻断左肝蒂,行吲哚菁绿反染确定左半肝边界;3.离断肝实质,寻找肝中静脉;4..离断左尾状叶及肝短静脉;5.术中避免损伤肝中静脉和下腔静脉;6.术中使用超声刀、百克钳、Ligasure等能量器械断肝、止血。

1.Pringle's maneuver was applied to control intraoperative bleeding during the surgical procedures;2.The left hepatic pedicle of the liver was fully exposed and occluded based on Laennec's capsule,and the left hepatic boundary was determined by indocyanine green staining;3.The liver parenchyma was severed with the middle hepatic vein as anatomical signs;4.The left caudate lobe and short hepatic vein were severed;5.Middle hepatic vein and inferior vena cava were preserved during operation;6.Ultrasonic scalpel,BiClamp,Ligasure and other energy tools were used to transect the liver parenchyma and to control intraoperativebleeding.