Application of laparoscopic techniques in hepatic surgery
10.3760/cma.j.issn.1673-9752.2013.05.002
- VernacularTitle:腹腔镜技术在肝脏外科的拓展应用
- Author:
Shuguo ZHENG
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Laparoscopy;
Hepatectomy
- From:
Chinese Journal of Digestive Surgery
2013;(5):324-327
- CountryChina
- Language:Chinese
-
Abstract:
Minimally invasive surgery is the trend of development of modern surgery.As the representative of minimally invasive surgery,laparoscopy has widely been used in surgeries for visceral diseases.Liver is the biggest solid organ in the abdominal cavity,with complicated anatomical structure and important biological functions.Laparoscopic hepatic surgeries were thought to be difficult and with high risk.In recent years,laparoscopic surgery has been widely applied in the hepatic surgery as the improvement of laparoscopic techniques and instruments.The application of laparoscopy has been extended from marginal and local resection for hepatic benign diseases to major hepatectomy,resection of liver graft,hepatectomy at special location and anatomical segmentectomy.In China,patients with liver cancer or hepatolithiasis have high recurrence rate,and part of the patients had to receive reoperation.Furthermore,patients with hepatic cancer were usually complicated with hepatic cirrhosis,and patients with hepatolithiasis were easily complicated with hepatic atrophy,hepatic cirrhosis or cavoportal transposition,which hinder the application of laparoscopy for the treatment of liver cancer and hepatolithiasis.In this article,we investigate the application and update of laparoscopic techniques in anatomical hepatectomy and re-hepatectomy based on the experiences of 800 cases of laparoscopic hepatectomy.
