Rau H G, Schauer R, Pickelmann S, Beyer B C, Angele M K, Zimmermann A, Meimarakis G, Heizmann O, Schildberg F W
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern der Ludwig-Maximilians-Universität, München.
Chirurg. 2001 Feb;72(2):105-12. doi: 10.1007/s001040051277.
The first liver resection was performed in 1888. Since then a wide variety of dissection techniques have been introduced. The blunt dissection was replaced by novel methods, i.e. the CUSA technique and the Jet Cutter for major liver resections. These methods represent selective dissection techniques; whereas non-selective methods include the scalpel, scissors, linear stapling cutter, high-frequency coagulation, and the laser technique. The aim of this review article is the comparison of the different resection techniques in liver surgery, focussing on blood loss and resection time.
首例肝切除术于1888年实施。从那时起,人们引入了各种各样的解剖技术。钝性解剖被新方法所取代,即用于肝大部切除术的超声外科吸引器(CUSA)技术和水刀。这些方法代表了选择性解剖技术;而非选择性方法包括手术刀、剪刀、直线缝合切割器、高频电凝和激光技术。这篇综述文章的目的是比较肝脏手术中不同的切除技术,重点关注失血情况和切除时间。