摘要
自1994年以来,腹腔镜技术在外科手术中被广泛应用。虽然腹腔镜肝切除术已被很多医师熟知和掌握,但早期行腹腔镜下肝切除术仍有风险较大、困难较多等问题。近年来,随着腹腔镜肝切除技术的不断更新和完善,腹腔镜在肝脏外科的应用中迅速发展。但由于肝脏解剖复杂和肝脏功能的特殊性,使腹腔镜肝切除术较其他腔镜手术发展缓慢,而术后并发症的发生成为腹腔镜下肝切除术的重要问题。目前,腹腔镜肝切除术对于中国外科医师来说仍是较为复杂的手术之一。相信随着肝脏外科的发展和腹腔镜器械的不断改进,腹腔镜下肝脏切除术会逐步得到推广,未来会成为肝脏切除的常规和首选方式。
Since 1994, laparoscopic techniques have been widely applied in surgery. Although laparoscopic hepatectomy has already been familiar and mastered by a lot of doctors nowadays, there were plentiful barriers as greater risks and large amount of difficulties during the operations in the early decades. Recently, with constant update and improvement of laparo-scopic techniques, the application of laparoscopic surgery in the liver has been developing rapidly. However, due to the complex anatomy of the liver and the specificity of liver function, laparoscopic hepatectomy developed much more slowly than that of other laparoscopic surgeries. And postoperative complication has also become one crucial factor to restrict the development of laparoscopic hepatectomy. So far,the laparoscopic hepatectomy is still a relatively complex surgical procedure for Chinese surgeons. It is believed that with the development of hepatic surgery and the continuous improvement of laparoscopic instruments ,laparoscopic hepatectomy will gradually be popularized, which will become the routine and preferred way of liverresection in the future.
出处
《医学综述》
2017年第17期3498-3502,共5页
Medical Recapitulate
