D'Albuquerque Luiz A Carneiro, Herman Paulo
Departamento de Gastroenterologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP.
Arq Gastroenterol. 2006 Jul-Sep;43(3):243-6. doi: 10.1590/s0004-28032006000300017.
Despite the advances during the last years, liver resection remains as one of the last frontiers in laparoscopic surgery. Published data include case reports and evaluations of small series of patients and are seen with skepticism by many surgeons. Laparoscopic liver resection is a long and hazardous and long procedure and experience in liver and laparoscopic surgery and an adequate equipment are needed. A critical analysis of the indications, technical aspects and the method was performed.
We can conclude that laparoscopic liver resection is safe, feasible and can be considered as an excellent choice for selected cases. There is no doubt that video-laparoscopic liver resection is a reality and should be part of liver surgeon's therapeutic armamentarium.
尽管近年来取得了进展，但肝切除术仍是腹腔镜手术的最后前沿领域之一。已发表的数据包括病例报告和对小系列患者的评估，许多外科医生对此持怀疑态度。腹腔镜肝切除术是一个漫长、危险且耗时的手术，需要有肝脏和腹腔镜手术经验以及足够的设备。对适应证、技术方面和方法进行了批判性分析。
我们可以得出结论，腹腔镜肝切除术是安全、可行的，对于某些特定病例可被视为一个极佳选择。毫无疑问，视频腹腔镜肝切除术已成为现实，应成为肝脏外科医生治疗手段的一部分。
