Laennec间隙引导肝胆外科手术专家共识(2026版)

Expert consensus on Laennec capsule guided hepatobiliary surgery (2026 edition)

  • 摘要: Laennec包膜是覆盖肝脏内外实质的固有纤维结缔组织,其在外科手术中的价值日益凸显。国际肝胆胰协会中国分会组织国内该领域专家制订《Laennec间隙引导肝胆外科手术专家共识(2026版)》(以下简称共识)。该共识基于循证医学原则,系统归纳Laennec包膜的解剖界定及在肝胆外科手术中的应用,明确Laennec包膜与Glisson鞘、肝静脉及下腔静脉解剖间隙,提出以Laennec间隙为引导的手术入路,旨在规范手术操作流程、提高手术安全性与疗效,推动手术方案的推广和标准化,为未来研究指明方向。

     

    Abstract: The Laennec capsule is an intrinsic fibrous connective tissue covering the intra-hepatic and extrahepatic parenchyma. With the first described in 1802, the value of Laennec capsule in surgical procedures has become increasingly prominent in recent years, with the advancement of laparoscopic technology and in‑depth research on liver anatomy. The Chinese Chapter of the International Hepato‑Pancreato‑Biliary Association have organized domestic experts in this field to formulate the Expert consensus on Laennec capsule guided hepatobiliary surgery (2026 edition). Based on evidence‑based medicine principles, the consensus systematically summarizes the anatomical definition of Laennec capsule and its applications in hepatobiliary surgery, clarifies the anatomical spaces between Laennec capsule and Glisson sheath, hepatic veins, and inferior vena cava, and proposes the Laennec capsule guided surgical approach, aiming to standardize surgical procedures, improve surgical safety and efficacy, promote the popularization and stardardization of surgical plans, outline future directions in researches.

     

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