摘要
腹腔镜右半肝切除术开展的例数逐年增多,然而其仍存在学习曲线长、中转开腹手术率高、有一定的病死率和并发症发生率等诸多问题。腹腔镜右半肝切除术需要系统的标准化教育。在经选择的病例中,通过规范的术前评估、术中超声的应用、肝内间隙的解剖、原位前入路的方式、优化的断肝技术、出血的预判断和完备的术后管理等一系列标准化控制的步骤,使腹腔镜右半肝切除术达到可视化、流程化、简单化、可控化的要求。标准化的尝试贯彻损伤控制和无瘤原则,以减少出血和输血为目的,可望使病人整体长期获益。
The number of laparoscopic right hepatectomy has been increased. However, there are still some drawbacks such as long learning curve, high transit rate, and inevitable mortality and complication rate. Laparoseopic right hepatectomy requires systematic standardization of education. In selected cases, a series of standardized control steps such as standardized preoperative assessment, intraoperative ultrasound application, intrahepatic space anatomy, anteriorapproach, optimized parenchyma transection technique, preoperative assessment of bleeding and complete postoperative management make ｜aparoscopic right hepatectomy to achieve the request of visible, process, concise, controllable. Standardization implements the principle of injury control and tumor-free to reduce bleeding and blood transfusion for the purpose of the patient is expected to benefit the overall long-term.
出处
《中国实用外科杂志》
CSCD
北大核心
2017年第5期481-485,共5页
Chinese Journal of Practical Surgery
关键词
腹腔镜
右半肝切除术
标准化
肝内间隙
laparoscopy
right hemihepatectomy
standardiza-tion
intrahepatic space
