腹腔镜解剖性肝切除手术操作流程及技术标准中国专家共识(2023版)

Chinese expert consensus on surgical procedures and technical standards of laparoscopic anatomic liver resection (2023 edition)

  • 摘要: 腹腔镜解剖性肝切除术经历从简单到复杂,再到精准的探索、发展和优化过程,跨越技术和理念双重障碍后,其流程化、标准化、规范化的操作体系已初步形成,但整体发展和推广仍面临较大困难和挑战。为规范腹腔镜解剖性肝切除术手术方式的基本方法和技术,保证其发展和推广过程中需要达到的安全性、同质化,以及可能超越开腹手术方式的精准化,并在规避腹腔镜手术固有局限性的同时充分发挥腹腔镜解剖性肝切除术的特殊优势,中国研究型医院学会肝胆胰外科专业委员会、《中华消化外科杂志》编辑委员会组织我国肝脏外科领域专家展开深入讨论,在总结临床实践经验和相关文献基础上,制订《腹腔镜解剖性肝切除手术操作流程及技术标准中国专家共识(2023版)》,旨在促进腹腔镜解剖性肝切除术的规范化开展,提高其在肝脏外科中的应用水平,并为进一步获取腹腔镜解剖性肝切除术临床应用的高级别循证医学证据奠定基础。

     

    Abstract: Laparoscopic anatomic liver resection (LALR) has gone through the process of exploration, development and optimization from simple to complex, and then to precise. After over-coming the double obstacles of technology and concept, the procedural and standardized operating system of LALR has initially taken shape. But the overall development and promotion of LALR still face great difficulties and challenges. In order to standardize the basic methods and technologies of LALR, ensure the safety and homogeneity required in its development and promotion, as well as the precision that may surpass the laparotomy, and give full play to the special advantages of LALR while avoiding the inherent limitations of laparoscopy, the Chinese Research Hospital Association, Society for Hepato‑pancreato‑biliary Surgery and the Editorial Board of Chinese Journal of Digestive Surgery organize experts in the field of liver surgery in China to carry out in‑depth discussions. On the basis of summarizing clinical experiences and relevant literatures, the Chinese Expert Consensus on Surgical Procedures and Technical Standards of Laparoscopic Anatomic Liver Resection (2023 Edition) is formulated to promote the standardized development of LALR, improve its application level in liver surgery, and lay the foundation for further obtaining high‑level evidence‑based medi-cine evidence of clinical application of LALR.

     

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