绕肝提拉法的研究进展

Research progress of liver hanging maneuver

  • 摘要:

    绕肝提拉法最早由Belghiti提出,在行前入路右半肝切除时采用止血钳插入肝后下腔静脉前间隙,建立肝后隧道并留悬吊带提拉肝脏的方法。这种方法的难点是建立肝后隧道,其严重并发症是损伤血管引起出血。本文对肝后隧道建立的解剖学基础、手术技巧进行分析总结,为临床医师在肝切除、肝移植及肝外伤等肝脏外科手术中应用绕肝提拉法提供参考,旨在降低采用该方法行手术治疗的并发症,提高其应用的安全性和成功率。

     

    Abstract: Liver hanging maneuver was firstly introduced by Belghiti et al in 2001, since then, the new technique has aroused widespread interest. The fatal weakness of liver hanging maneuver is bleeding resulting from blind dissection of the anterior plane of the inferior vena cava. In this review, the anatomic basis of retrohepatic tunnel and the surgical techniques were summarized to provide surgeons with suggestions in hepatectomy, liver transplantation or operations for hepatic trauma, so as to reduce the incidence of complications and raise the safety and success rate.

     

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