中国实用外科杂志

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腹腔镜肝右后区切除术解剖基础及手术思路

陈亚进,陈    捷   

  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:2018-04-01 发布日期:2018-03-30

  • Online:2018-04-01 Published:2018-03-30

摘要:

腹腔镜肝右后区切除术是难度较高的大范围肝切除术式之一。须熟悉Rouviere沟、肝后下腔静脉间隙和下腔静脉旁间隙等解剖结构,选择适当的手术体位、手术入路、断肝平面、肝血流控制方式,制定流程化的手术思路。这一系列策略和措施可以降低手术难度,缩短学习曲线,同时减少手术中转开腹和术中输血的发生,达到腹腔镜右后区切除术的同质化,最终使病人获益。

关键词: 腹腔镜, 肝右后区切除术, 手术路径

Abstract:

Anatomy and surgical plan of laparoscopic right posterior sectioniectomy        CHEN Ya-jin,CHEN Jie. Department of Hepatobiliary Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou510120,China
Corresponding author:CHEN Ya-jin,E-mail:cyj0509@126.com
Abstract    Laparoscopic right posterior resection of the liver is one of the most difficult surgical procedures for major liver resection. Through the anatomical application of Rouviere’s sulcus,posterior inferior hepatic vena cava and inferior vena cava periventricular space,the appropriate surgical position,surgical approach,liver parenchyma incision plane,liver blood flow control methods and the procedure of surgical procedure were established. The series of strategies and measures can reduce the learning curve,reduce the difficulty of surgery,while reducing the transfer rate and transfusion rate of the operation,to achieve the training of laparoscopic right posterior resection homogenization,and ultimately benefit most patients.

Key words: laparoscopic, right posterior sectioniectomy , surgical approach