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腹腔镜肝切除术专家共识和手术操作指南(2013版)

2013-04-05 MedSci MedSci原创

中华医学会外科学分会肝脏外科学组   【按语】微创是当今外科学发展的理念。腹腔镜手术具有局部创伤小、全身反应轻、术后恢复快等优势。自1991年美国妇产科Reich教授最先报道腹腔镜下肝良性肿瘤切除术以来,腹腔镜技术在肝脏疾病中的应用日渐广泛。2009 年,Kevin等统计文献报道的2804例腹腔镜肝切除手术,其病种包括肝脏良、恶性肿瘤,肝切除范围亦由局部切除、楔形切除逐步扩大至半肝切除,甚至有中心

中华医学会外科学分会肝脏外科学组   【按语】微创是当今外科学发展的理念。腹腔镜手术具有局部创伤小、全身反应轻、术后恢复快等优势。自1991年美国妇产科Reich教授最先报道腹腔镜下肝良性肿瘤切除术以来,腹腔镜技术在肝脏疾病中的应用日渐广泛。2009 年,Kevin等统计文献报道的2804例腹腔镜肝切除手术,其病种包括肝脏良、恶性肿瘤,肝切除范围亦由局部切除、楔形切除逐步扩大至半肝切除,甚至有中心报道用腹腔镜来进行供肝的切取。目前,我国开展腹腔镜肝切除的中心虽多,但大多局限于肝脏楔形切除或小病灶局部切除。为推进腹腔镜肝切除在我国的开展,中华医学会外科学分会肝脏学组于2012年12月组织全国60位肝脏外科专家齐聚武汉,结合2008年Louisville宣言和国内的经验,共同讨论形成了“腹腔镜肝切除术专家共识”,并起草形成了“腹腔镜肝切除手术操作指南”。希望能对目前正在开展或有志于进行腹腔镜肝脏手术的外科医生有一定的指导作用和参考价值。 腹腔镜肝切除术专家共识   一、腹腔镜肝切除术的类型   1.全腹腔镜肝脏切除术:完全在腹腔镜下完成肝切除术。   2.手助腹腔镜肝脏切除术:将手通过特殊

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    2016-10-11 1e128d2fm65(暂无匿称)

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    2013-12-18 changfy
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