Division of Transplant Surgery, Department of Surgery, Medical University of South Carolina (MUSC), 96 Jonathan Lucas Street Charleston, SC 29425, USA.
Clin Liver Dis. 2011 May;15(2):371-84, vii-x. doi: 10.1016/j.cld.2011.03.009.
Laparoscopic liver resection is an emerging technique in liver surgery. Although laparoscopy is well established for several abdominal procedures and is considered by some the preferred approach, laparoscopic hepatic resection has been introduced into clinical practice more widely since 2000. These procedures are performed only in experienced centers and only in a select group of patients. While initially performed only for benign hepatic lesions, the indications for laparoscopic resection have gradually broadened to encompass all kinds of malignant hepatic lesions, including hepatocellular carcinoma in patients with cirrhosis, for whom the advantages of the minimally invasive approach may be most evident.
腹腔镜肝切除术是肝脏外科的一项新兴技术。尽管腹腔镜技术在多种腹部手术中已经得到广泛应用，并被一些人认为是首选方法，但自 2000 年以来，腹腔镜肝切除术在临床实践中得到了更广泛的应用。这些手术仅在有经验的中心进行，且仅适用于特定的患者群体。虽然最初仅用于良性肝脏病变，但腹腔镜切除的适应证已逐渐扩大到包括各种恶性肝脏病变，包括肝硬化患者的肝细胞癌，对于这些患者，微创方法的优势可能最为明显。
