腹腔镜微创技术在肝切除中的应用现状与展望

Minimally invasive techniques for hepatectomy: applications and prospects

  • 摘要: 随着腹腔镜技术的不断发展,肝脏疾病的治疗正在经历由传统的开放手术到腹腔镜微创手术的重大变革。相较于开腹肝切除,腹腔镜手术具有创伤小、恢复快、切口美观等优点。但由于腔镜手术术野不易暴露且肝脏血供丰富,结构复杂,给手术带来了巨大的挑战。近年来,临床实践经验的积累与前沿技术的创新极大地推动了肝脏微创手术适应证的扩大,手术安全性显著提升。本文将探讨腹腔镜微创技术在肝脏外科中应用现状及进展,并着重介绍具有应用前景的技术。

     

    Abstract: With the development of laparoscopic technology, the treatment of liver diseases is undergoing a major change from traditional open surgery to laparoscopic minimally invasive surgery. Compared with open liver resection, laparoscopic surgery has advantages of less trauma, faster recovery, and improved aesthetic appearance. However, because of poor exposure of the operating field and rich blood supply of the liver, laparoscopic surgical strategies have faced huge challenges. In recent years, the accumulation of clinical practice experience and technological innovations have greatly expanded the indications and safety of minimally invasive liver surgery. In this review, the current applications and progress of laparoscopic minimally invasive techniques are discussed and their promising prospects in liver surgery are highlighted.

     

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