关键词: 腹腔镜, 肝切除术, 安全性, 技术

Abstract: Laparoscopic liver surgery has been widely used in the surgical treatment of various benign and malignant liver diseases. From the perspective of surgery and oncology, it has been proved that it can bring patients dual benefits of minimally invasive and survival. Due to the complexity of liver anatomy and pathology as well as the inherent limitations of laparoscopic surgery, laparoscopic liver surgery is difficult and risky, and the overall development and promotion still face great difficulties and challenges. How to ensure the safety of laparoscopic liver surgery remains a problem that needs to be focused on and urgently solved in the field of hepatic surgery. Strict control of surgical indications, accurate preoperative evaluation and surgical planning are important prerequisites to ensure the safety of laparoscopic liver surgery. Prevention and control of intraoperative bleeding, treatment of important vessels and control of liver resection plane are the three key technical links to ensure the safe implementation of laparoscopic liver surgery. The first two links mainly ensure the safety of surgery, while the third link focuses on the safety of oncology. The three links complement each other and run through the whole process of laparoscopic liver surgery.

Key words: laparoscopy, hepatectomy, safety, technique