Rodriguez Angel, Gumbs Andrew A
Department of Surgery, Mercy Hospital, Philadelphia, Pennsylvania, USA.
J Laparoendosc Adv Surg Tech A. 2011 May;21(4):353-4. doi: 10.1089/lap.2010.0321. Epub 2011 Mar 2.
This video describes the techniques necessary to perform left hepatectomy (including removal of hepatic segments I-IV) for secondary cancers using totally laparoscopic techniques. Extra-parenchymal control of hepatic inflow will be emphasized. Methods of hepatic parenchymal transection using the ultrasonic shears and laparoscopic bipolar device will be shown. Short-term oncologic outcomes regarding margin status and lymph node retrieval will be discussed. These procedures should currently be performed in high-volume cancer centers with expertise in minimally invasive techniques.
本视频介绍了使用全腹腔镜技术对继发性癌症进行左肝切除术（包括切除肝段I-IV）所需的技术。将重点介绍肝血流的肝外控制。将展示使用超声刀和腹腔镜双极器械进行肝实质离断的方法。还将讨论关于切缘状态和淋巴结清扫的短期肿瘤学结果。目前，这些手术应由在微创技术方面具有专业知识的高容量癌症中心来开展。
