关键词: 腹腔镜, 肝切除术, 三维可视化技术, 术中超声, 吲哚菁绿, 肝血流阻断

Abstract:

Surgical approaches and techniques of laparoscopic hepatectomy for segments Ⅶ, Ⅷ        LIANG Xiao, CAI Xiu-jun. Department of General Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou 310016, China
Corresponding author: CAI Xiu-jun, E-mail：cxjzu@hotmail.com
Abstract    For those located in the special parts of the liver (Ⅶ, Ⅷ segment), due to the difficulty of visual field exposure, surgical equipment is difficult to reach,bleeding is not easy to control and other reasons, its resection is still in the exploratory stage in laparoscopic hepatectomy. The choice of surgical approach and the establishment of the operating space are the basis of the successful laparoscopic Ⅶ and Ⅷ segment resection;The precise location of the tumor and the mastery of the plane of liver resection are the key points of laparoscopic Ⅶ and Ⅷ hepatectomy;To select a reasonable blood flow control technique in laparoscopic liver resection is a safe way to complete the operation successfully.

Key words: laparoscopy, hepatectomy, three-dimensional visualization technology, intraoperative ultrasound, indocyanine green, hepatic vascular occlusion