摘要
微创肝脏后上段切除是富有挑战性的,其手术策略尚未规范化。笔者综述微创肝脏后上段切除的技术,包括腹腔镜和机器人下的,描述技术的细节和潜在的优缺点。通过对微创肝脏后上段切除的解剖、术前评估、手术入路、术中技术(显露、出血控制)等方面进行文献回顾和阐述,希望对微创肝脏后上段切除的规范化和个体化手术治疗策略的制订提供一些参考。
Abstract
Minimally invasive posterosuperior liver segment resection is challenging and its surgical strategy has not been standardized. This article reviews techniques for minimally invasive posterosuperior liver segment resection, both laparoscopic and robotic, describing the details and potential advantages and disadvantages of these techniques. By reviewing and elaborating the literature on the key points of anatomy, preoperative evaluation, surgical approach, and intraoperative techniques (exposure, bleeding control) of minimally invasive posterosuperior liver segment resection, we hope to provide some references for the formulation of standardized and individualized surgical treatment strategies for minimally invasive posterosuperior liver segment resection.
基金项目
2020浙江省万人计划科技创新领军人才(2020R52007)
2021年浙江省重点研发项目(2021C03066)
2021年省部共建重点项目(WKJ-ZJ-2124)
202国家自然科学基金面上项目(82270670)