肝细胞癌腹腔镜解剖性肝切除理论和技术体系的构建历程

Construction process of theoretical and technological systems of laparoscopic anatomic liver resection for hepatocellular carcinoma

  • 摘要: 外科学的发展带来外科医师理念的转变,而外科学理念的每一次革新,又会推动外科学技术的进步,两者相辅相成。肝细胞癌的治疗是以手术为中心的综合治疗,随着对肝脏解剖的深入认识,手术方式从最初的局部切除,发展到解剖性肝切除,再到荷瘤门静脉流域切除。尤其是近年来,肝脏膜解剖和门板理论以及三维可视化等技术手段的涌现,使得腹腔镜解剖性肝切除理论和技术体系趋于成熟。笔者结合自身经验与文献报道,系统阐述肝细胞癌腹腔镜解剖性肝切除理论和技术体系的构建历程。

     

    Abstract: The development of surgery brings about the transformation of surgeons′ con-cepts, and in turn, each renewal of surgical concepts propels progress of surgical techniques. These two aspects complement each other. The treatment of hepatocellular carcinoma is a comprehensive therapy centered on surgery. With the deepening understanding of liver anatomy, the surgical methods have evolved from initial local resection to anatomical liver resection, and then to resection of the tumor‑bearing portal vein territory. In recent years, with the emergence of hepatic membrane anatomy, portal plate theory, and three‑dimensional visualization, the theoretical and technical systems of laparoscopic anatomical liver resection has become more and more mature. Based on own experience and literature reports, the authors systematically elaborate on the construction of theoretical and technological systems of laparoscopic anatomic liver resection for hepatocellular carcinoma, for reference by colleagues.

     

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