中国实用外科杂志

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腹腔镜肝切除术中确定和显露肝内重要解剖标志的意义和技术要点

郑树国,王星入,李建伟   

  1. 陆军军医大学第一附属医院(西南医院)全军肝胆外科研究所,重庆 400038
  • 出版日期:2025-08-01

  • Online:2025-08-01

摘要: 腹腔镜肝切除术因其微创优势,已在肝脏外科领域得到广泛应用。在腹腔镜肝切除过程中,准确识别并显露肝内的重要解剖标志,是保障手术安全、实现精准切除、提升手术流程效率的关键步骤。尽管微创外科技术的不断发展,但对肝内解剖结构的准确识别和显露,始终是肝胆外科医生专业能力的核心体现。术前影像规划、术中实时导航技术以及精细化手术操作不仅可以优化手术流程,还为复杂肝切除术的微创化提供了可行性支持。

关键词: 腹腔镜肝切除术, 肝内解剖标志, 手术技术, 术中导航, 三维可视化

Abstract: Laparoscopic liver resection has been widely applied in the field of liver surgery due to its minimally invasive advantages. During laparoscopic liver resection, accurately identifying and exposing the important anatomical landmarks within the liver is a key step to ensure surgical safety, achieve precise resection, and improve the efficiency of the surgical process. Despite the continuous development of minimally invasive surgical techniques, the accurate identification and precise exposure of the anatomical structures within the liver remain the core demonstration of the professional capabilities of hepatobiliary surgeons. Preoperative image planning, intraoperative real-time navigation technology and refined surgical operations not only optimize the surgical process but also provide feasible support for the minimally invasive approach in complex hepatectomy.

Key words: laparoscopic liver resection, intrahepatic anatomical landmarks, surgical techniques, intraoperative navigation, three-dimensional reconstruction