Department of Hepatobiliary Pancreatic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
J Hepatobiliary Pancreat Sci. 2012 Jan;19(1):38-43. doi: 10.1007/s00534-011-0452-z.
Left hepatectomy is one of the most common types of hepatectomy. In order to perform the procedure, surgeons need to possess all the basic skills for accomplishing any liver resection. The most important points to bear in mind in relation to left hepatectomy are: (1) a precise recognition of the surgical anatomy of the vascular structures of the liver, especially the bile duct, because of the wide anatomic variations; (2) recognition that the procedure consists of the following three parts: hilar dissection, mobilization of the left liver, and liver resection; (3) an understanding that these steps need to be accomplished with great care to control bleeding and to avoid injury to the vessels supplying the right hemiliver.
左半肝切除术是最常见的肝切除术之一。为了进行该手术，外科医生需要具备完成任何肝切除术的所有基本技能。进行左半肝切除术时需要牢记的最重要的几点是：（1）准确识别肝血管结构的手术解剖结构，特别是胆管，因为存在广泛的解剖变异；（2）认识到该手术包括以下三个部分：肝门解剖、左肝游离和肝切除；（3）理解这些步骤需要非常小心地完成，以控制出血并避免损伤供应右半肝的血管。
