中国实用外科杂志

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腹腔镜肝脏S7/S8段切除的精细解剖学基础及术式流程优化

曹    君,陈亚进   

  1. 中山大学孙逸仙纪念医院肝胆外科,广东广州 510120
  • 出版日期:2025-08-01

  • Online:2025-08-01

摘要: S7/S8段是肝脏解剖较复杂的部位之一。腹腔镜下解剖性S7/S8段切除作为最困难的右肝近侧横向联合肝段切除,至今仍存在术式盲点与风险。目前,腹腔镜下解剖性S7/S8段切除的标准术式尚未形成,其中涉及诸多关键技术,术式流程的优化值得重视。以精细解剖认知为根本,结合新兴理念技术的合理应用,将有望建立兼顾可行性、安全性和实用性的术式优化流程。

关键词: 腹腔镜, 解剖性肝切除, 肝脏S7/S8段, 肝脏解剖, 术式流程优化

Abstract: The S7/S8 segments are one of the most complex areas in liver anatomy. Laparoscopic anatomical resection of the S7/S8 segments, as the most challenging right lateral combined hepatic segmentectomy, still has blind spots and risks in surgical procedures. At present, the standard surgical approach for laparoscopic anatomical resection of the S7/S8 segments has not yet been established, and it involves many key techniques. The optimization of the surgical procedure is worthy of attention. Based on a precise understanding of the anatomy and the rational application of emerging concepts and technologies, it is expected to establish an optimized surgical procedure that considers feasibility, safety and practicality.

Key words: laparoscopy, anatomic liver resection, liver S7/S8 segments, liver anatomy, optimization of surgical procedure