摘要
1888年Langenbuch实施了第1例肝肿瘤切除术，为肝脏切除手术开了先河。肝切除术因肝脏的解剖学和生理学特殊，具有手术技巧及器械要求高、出血多、操作复杂、创伤大、并发症多等特点。理想的肝切除术应该达到有效控制病变损伤和手术本身损伤的双重目标。肝脏提拉技术（1iverhangingmaneuver，LHM）能够更加有效的辅助肝切除术。现结合LHM的发展现状及我院临床实践体会，与肝胆外科同道交流、商榷。
Liver hanging maneuver （LHM） was first performed to assist right hepatectomy by Jacques Belghiti in 2001. During the procedure of hepatectomy, the liver is lifted by a tape which passes between the anterior surface of the inferior vena cava and the liver. LHM provides effective vascular control and makes the anterior approach safer and easier. As one of the most important innovations in the field of liver resection, LHM has some definite advantages over the classical approach, including less hemorrhage, less tumoral manipulation and rupture, better hemodynamic stability, reduced ischemic damage of the liver remnant and better survival for patients with hepatocellular carcinoma. Moreover, LHM can serve as a guide to the correct anatomical transection plane, and help to improve the exposure of the deep parenchymal plane. LHM developed rapidly in the past few years and it has been widely adopted not only in the treatment of liver cancer, but also in living donor liver transplantation, orthotopic liver transplantation and the treatment of benign liver diseases. Furthermore, many surgeons utilize LHM to facilitate various anatomical liver resections. Although the concept of LHM is widely accepted, its limits and contraindications still need to be investigated in the future.
出处
《中华消化外科杂志》
CAS
CSCD
2010年第1期6-9,共4页
Chinese Journal of Digestive Surgery
基金
基金项目：黑龙江省高校创新团队基金
关键词
肝肿瘤
肝切除术
肝脏提拉技术
Liver neoplasms
Hepatectomy
Liver hanging maneuver
