摘要
21世纪初肝脏外科的进展是精准、微创和有效,肝切除作为肝细胞癌的主要治疗手段之一,业已进入精准肝切除时代,但精准肝切除治疗肝细胞癌的关键技术目前尚不明确。笔者在系统临床探索的基础上,提出其关键技术包括4个方面:精确评估规划技术、精准肝门解剖技术、精细肝实质离断技术与精良术后管理技术。临床迫切需要对精准肝切除治疗肝细胞癌的关键技术进行标准化,从循证医学的角度评估精准肝切除治疗肝细胞癌的有效性和手术安全性,将精准肝切除作为一门适宜技术在国内进一步推广。
The progress of liver surgery is characterized by precision, minimal invasion and effectiveness in the early 21 st century. Hepatectomy, as the mainstay treatment for hepatocellular carcinoma （HCC）, has entered a precise era. However, key techniques involved in the precise hepatectomy for HCC remain unclear at present. [he author, based on the systematic clinical investigations, proposes that the key techniques involve four aspects： accurateassessment and planning, precise dissection of the porta hepatis, meticulous hepatic parenchyma transaction and sophisticated postoperative management. There is an urgent need for the standardization of the key techniques of precise hepatectomy for HCC, and the evaluation of the efficacy and safety of precise hepatectomy for HCC from the perspective of evidence-based medicine, so as to further disseminate the precise hepatectomy as an appropriate technique in the country
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2014年第1期1-5,共5页
China Journal of General Surgery
基金
国家自然科学基金资助项目(81172364)
安徽省科技攻关资助项目(1301042199)
安徽省卫生厅医学科研重点基金资助项目(2010A006)
关键词
癌
肝细胞
肝切除术
方法
精准肝切除
Carcinoma, Hepatocellular
Hepatectomy/methods
Precise Hepatectomy
