腹腔镜肝手术：使用盐水增强电外科进行实质切开。
Laparoscopic liver surgery: parenchymal transection using saline-enhanced electrosurgery.
机构信息
William Beaumont Hospital, Royal Oak, MI, USA.
出版信息
HPB (Oxford). 2008;10(4):225-8. doi: 10.1080/13651820802166864.
Abstract
Minimally invasive liver resection (MILR) has evolved considerably in the past decade. Safe hepatic parenchymal transection, has been one of the technical hurdles that has become evident during the growth of MILR. Advances in technology have now made safe liver transection a reality allowing resections of greater magnitude. In this review, the precoagulation approach is described in both methodology and technique. Using this method of liver transection, we have been able to perform MILR of all varieties and magnitudes, with favorable patient outcomes. A detailed description of one particular device will be highlighted to disseminate our experience and thus broaden the technical options for hepatobiliary surgeons wishing to offer their patients a minimally invasive therapy.
摘要
微创肝切除术 (MILR) 在过去十年中得到了长足的发展。安全的肝实质离断一直是 MILR 发展过程中明显存在的技术障碍之一。技术的进步使安全的肝离断成为现实，从而允许进行更大范围的切除。在这篇综述中，描述了前凝固方法的方法和技术。使用这种肝离断方法，我们已经能够进行各种类型和大小的 MILR，并且患者的预后良好。将重点介绍一种特殊设备的详细描述，以传播我们的经验，从而拓宽希望为患者提供微创治疗的肝胆外科医生的技术选择。
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