中国实用外科杂志 ›› 2025, Vol. 45 ›› Issue (08): 952-954.DOI: 10.19538/j.cjps.issn1005-2208.2025.08.18

• 讲座 • 上一篇    下一篇

腹腔镜右半肝游离流程化操作要点

王    伦,李馨慈,陶海粟,祝    文,项    楠,杨    剑   

  1. 南方医科大学珠江医院肝胆一科 南方医科大学珠江医院肝癌诊疗中心 微创器械创新及应用国家工程研究中心华南研究院 广东省数字医学临床工程技术研究中心,广东广州 510280
  • 出版日期:2025-08-01 发布日期:2025-09-02

  • Online:2025-08-01 Published:2025-09-02

摘要: 近年来,随着腹腔镜器械、成像设备和技术理念的发展与进步,腹腔镜肝切除技术日臻成熟并逐渐普及。流程化的手术操作有助于手术的简洁化和同质化,既符合腹腔镜肝切除术推广的需要,也是开展多中心、大样本对照研究的基础之一。右半肝游离是腹腔镜右侧肝切除术的重要手术步骤,流程化的右半肝游离步骤有利于提高腹腔镜下操作的安全性及效率。尤其是肝短静脉的处理、下腔静脉旁间隙的显露、右半肝的牵拉旋转等操作步骤,均是保障腹腔镜下右半肝游离安全性及效率的关键。

关键词: 腹腔镜肝切除术, 右半肝游离, 流程化手术, 肝短静脉, 下腔静脉旁间隙

Abstract: With advancements in laparoscopic instruments, imaging devices and surgical concepts, laparoscopic hepatectomy has achieved technical maturity and widespread adoption. Procedural surgical operations facilitate the simplification and homogenization of the surgery, which not only meets the demands for promoting laparoscopic hepatectomy techniques, but also establishes the essential foundation for conducting multicenter, large-sample controlled studies. As a crucial surgical step in laparoscopic right side liver resection, the procedural mobilization of the right liver is beneficial for enhancing both safety and efficiency of the laparoscopic operations. In particular, the handling of the short hepatic veins, the exposure of the para-venous space of the inferior vena cava, and the retraction and rotation of the right lobe of the liver are all crucial steps that ensure the safety and efficiency of the laparoscopic right liver mobilization.

Key words: laparoscopic hepatectomy, right liver mobilization, procedural surgery, short hepatic vein, inferior vena cava space