腹腔镜肝切除术手术入路分类及演变

Classification and evolution of the surgical approach of laparoscopic hepatectomy

  • 摘要: 近30年来,腹腔镜肝切除术快速发展,多维度促进肝切除技术和策略的革新。这主要归结于国内外学者对肝脏解剖理解的提升、开腹技术的转换运用、腹腔镜视野的扩充及外科相关领域的反哺等关键因素。笔者总结腹腔镜肝切除术手术入路的启蒙、发展、提升与升华,探讨腹腔镜肝切除术手术入路分类及演变。

     

    Abstract: In the past 30 years, laparoscopic hepatectomy has developed rapidly, which multi‑dimensionally promoted the innovation of hepatectomy technology and strategy. This is mainly attributed to the key factors such as the improvement of domestic and foreign scholars′ under-standing of liver anatomy, the conversion and application of laparotomy technology, the expansion of laparoscopic vision and the feedback in surgery related fields. The authors summarize the enlighten-ment, development, promotion and sublimation of laparoscopic hepatectomy, and discuss the classi-fication and evolution of the surgical approach of laparoscopic hepatectomy.

     

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