肝尾状叶的再认识和相关问题探讨

Recognition of the caudate lobe and reflections on related issues

  • 摘要: 肝尾状叶位于肝脏深背部区域,门静脉三联征和下腔静脉之间。由于肝尾状叶肿瘤位置深、解剖复杂,手术治疗比较困难。非手术治疗如消融治疗、经动脉栓塞等也具有挑战性,其结果不如手术治疗。因此,手术切除是肝尾状叶肿瘤的唯一治疗选择。笔者从肝尾状叶的研究历史、腹腔镜技术在肝尾状叶切除术中的问题等方面进行讨论,为完善腹腔镜肝尾状叶切除术精准理念提供理论依据。

     

    Abstract: The hepatic caudate lobe is located in the deep back area of the liver. Due to the unique anatomical position of hepatic caudate lobe, surgical treatment for tumor of hepatic caudate lobe is particularly difficult. Non‑surgical treatment, such as ablation, transarterial embolization, etc, is also challenging for tumor of hepatic caudate lobe, and the therapeutic effect is inferior to that of surgery. Therefore, surgical resection is the only treatment for tumor of hepatic caudate lobe. The authors discuss the research history of hepatic caudate lobe, the problems of laparoscopic technique in hepatic caudate lobe resection, etc, in order to provide a theoretical basis for improving the concept of accuracy of laparoscopic caudate lobectomy.

     

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