Scheuerlein H, Köckerling F
Chirurgische Klinik, Klinikum Hannover-Siloah.
Zentralbl Chir. 2000;125(7):578-86.
Over the past decades, great progress has been made in surgery on the liver. Technical achievements and the strict application of anatomical knowledge to surgical practice have added a new dimension to the field of liver surgery. In some cases, new facts about the anatomy of the liver needed considerable time before being implemented. Surgery of liver metastases, primary tumours of the liver and not least liver transplantation have focussed the interest of visceral surgeons more and more on this organ. Segment-orientated liver anatomy, a knowledge and consideration of vascular structures, and the observance of anatomical landmarks are the prerequisites for successful surgery on the liver.
在过去几十年里,肝脏手术取得了巨大进展。技术成就以及解剖学知识在外科实践中的严格应用为肝脏外科领域增添了新的维度。在某些情况下,关于肝脏解剖的新事实在得到应用之前需要相当长的时间。肝转移瘤手术、肝脏原发性肿瘤手术,尤其是肝移植手术,越来越使腹部外科医生将兴趣集中于这一器官。以肝段为导向的肝脏解剖、对血管结构的了解与考量以及对解剖标志的遵循是肝脏手术成功的先决条件。