关键词: 腹腔镜, 肝切除术, 解剖性半肝切除, 肝中静脉

Abstract:

Skills and key technical difficulties of laparoscopic anatomical hemihepatectomy        YIN Xin-min, ZHU Si-wei. Department of Hepatobiliary Minimally Invasive Surgery, Hunan Provincial People's Hospital, Changsha 410005, China
Corresponding author: YIN Xin-min, E-mail:13319587618@163.com
Abstract    Laparoscopic hemihepatectomy is one of the representative procedures of laparoscopic hepatectomy. With the development of laparoscopic techniques and instruments, it is an urgent requirement of time for laparoscopic doctors to achieve higher quality anatomical liver resection. Laparoscopic anatomical hemihepatectomy (LAHH) must follow the quality standard of open surgery, strictly follow the indications of surgery. Good team, technology and equipment reserve are the premise to carry out LAHH. Patient position, trocar setting, blood blocking of inflow, liver parenchyma cutting, pneumoperitoneum and vein pressure setting are steps and details constitute a successful LAHH indispensable. The localization and exposure of the middle hepatic vein, the control and management of intraoperative hemorrhage are the keys of LAHH.

Key words: laparoscopy, hepatectomy, anatomical hemihepatectomy, middle hepatic vein