摘要
目的系统回顾当前国内外主要采用的腹腔镜肝脏悬吊技术的方法、特点和适应证,并评估它们在腹腔镜胃癌根治术中的应用效果,以期为临床医生选择最合适的肝脏悬吊方法提供参考。方法对当前国内外应用较多的腹腔镜肝脏悬吊技术的相关研究文献进行综述并比较分析。结果当前国内外应用相对较多的几种腹腔镜肝脏悬吊技术主要有V型悬吊、W型悬吊、医用胶粘合法悬吊及肝脏牵开器悬吊,其中V型、W型及肝脏牵开器悬吊技术又根据情况改良了多种方法,但这些悬吊技术均有各自的优势及劣势,彼此无法完全互相替代。结论目前没有一种完全理想的悬吊方法能达到简单、安全、有效的理想状态,具体选择哪一种肝脏悬吊技术需要根据患者的具体身体条件且考虑该方式的安全性、有效性及合理性进行选择。
Objective To systematically review the methods,characteristics,and indications of technique for retraction of liver and evaluate their application effects during the laparoscopic radical gastrectomy for gastric cancer,so as to provide reference for clinicians to choose the most suitable liver retraction method.Method The relevant research literature on the application of liver retraction method both domestically and internationally during the laparoscopic radical gastrectomy was reviewed and compared.Results The main liver retraction methods that were used both domestically and internationally included V-shaped retraction,W-shaped retraction,medical adhesive retraction,and liver dilator retraction.Among them,the V-shaped,W-shaped,and liver dilator retraction techniques had been improved according to the situation,but these retraction techniques had their own advantages and disadvantages and could not be completely replaced by each other.Conclusions Currently,there is no absolutely ideal retraction method that is simple,safe,and effective.The specific choice of liver retraction technology needs to be selected based on the patient’s specific physical conditions,considering the safety,effectiveness,and rationality of this method.
作者
张敬麟
王默进
陈心足
ZHANG Jinglin;WANG Mojin;CHEN Xinzu(Department of General Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Gastric Cancer Center,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of Gastrointestinal and Hernia Surgery,Yibin Second People’s Hospital(West China Yibin Hospital,Sichuan University),Yibin,Sichuan 644000,P.R.China;Ya’an Cancer Prevention and Control Center/Department of Gastrointestinal,Breast,Thyroid Surgery,Ya’an People’s Hospital(West China Ya’an Hospital,Sichuan University),Ya’an,Sichuan 625000,P.R.China)
出处
《中国普外基础与临床杂志》
CAS
2024年第7期876-880,共5页
Chinese Journal of Bases and Clinics In General Surgery
基金
四川大学华西医院学科发展1·3·5工程(项目编号:ZY2017304)
四川省科学技术厅科技计划项目重点研发计划(项目编号:23ZDYF0839)。
关键词
胃癌根治术
腹腔镜手术
肝脏悬吊
radical gastrectomy
laparoscopic surgery
liver retraction
