摘要
近年,腹腔镜肝切除术(LH)因其安全性、有效性、微创性等特点,在肝脏外科中飞速发展。腹腔镜肝右后叶切除由于其肝断面大、术野暴露困难、解剖结构复杂等特点,难度大、风险高。尤其是肝右后区临近膈面、位于腹腔深部、手术创面大和内结构复杂的特点,且右后叶临近右侧肾上腺、贴近下腔静脉,无疑增加了手术难度。本文主要论述腹腔镜肝右后叶切除的一些要点与策略。
In recent years, laparoscopic liver resection has been developed rapidly due to its features of safety, effectiveness, and minimal invasion. However, laparoscopic right posterior lobe resection is still difficult and risky due to extensive liver section, difficult exposure of surgical field, and complex anatomical structure. In particular, the right posterior region of the liver is adjacent to diaphragm, deep in abdominal cavity, with large surgical wound and complex internal structure, and the right posterior lobe is adjacent to the right adrenal gland and close to the inferior vena cava, which undoubtedly would increase the difficulty of surgery. This article proposed some strategies and techniques of laparoscopic right hepatectomy.
引文
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