中国实用外科杂志

• 院士论坛 • 上一篇    下一篇

论围肝门外科

董家鸿杨世忠冯晓彬   

  1. 清华大学附属北京清华长庚医院 肝胆胰外科,北京102218
  • 出版日期:2019-02-01 发布日期:2019-01-31

  • Online:2019-02-01 Published:2019-01-31

摘要:

围肝门区域胆管与门静脉和肝动脉的解剖关系复杂,手术难度大,手术安全性和术后疗效仍不令人满意。在精准外科理念指导下,基于可视化、可量化和可控化为特征的技术支撑,依照脉管优先、控制出血和把握极限点的基本原则,开展围肝门切除新术式,深化围肝门外科临床研究,推动围肝门外科加快发展。

关键词: 围肝门区域, 肝切除术

Abstract:

On  perihilar surgery        DONG Jia-hong,YANG Shi-zong,FENG Xiao-bin. Department of Hepato-biliary-pancreatic Surgery,Beijing Tsinghua Changgung Hospital,Medical Center,Tsinghua University,Beijing 102218, China
Corresponding author:DONG Jia-hong,E-mail:dongjiahong@mail.tsinghua.edu
Abstract    The anatomic relationship between bile duct and portal vein/hepatic artery is complicated in perihilar region. As perihilar surgery is technically demanding, both surgical safety and long-term outcome are not satisfactory. Under the guidance of precision surgery, three kinds of technique, including visualization, quantitation and controlization, are focused. Meanwhile, three principles including vessel priority, bleeding control and limit point control are introduced to improve the development of perihilar surgery. In addition, perihilar resection is potentially important and further clinical study about perihilar surgery is warranted in the near future. 

Key words: perihilar area, hepatectomy