Bismuth Henri, Eshkenazy Rony, Arish Arie
Hepatobiliary Institute, Paul Brousse Hospital, Paris, France, and.
Rambam Maimonides Med J. 2011 Jan 31;2(1):e0021. doi: 10.5041/RMMJ.10021. Print 2011 Jan.
This paper describes the rapid evolution of modern liver surgery, starting in the middle of the twentieth century. Claude Couinaud studied and described the segmental anatomy of the liver, Thomas Starzl performed the first liver transplantations, and Henri Bismuth introduced the concept of anatomical resections. Hepatic surgery has developed significantly since those early days. To date, innovative techniques are applied, using cutting-edge technologies: Intraoperative ultrasound, techniques of vascular exclusion of the liver, new devices for performing homeostasis and dissection, laparoscopy for resections, and new drugs that allow the resection of previously unresectable tumors. The next stage in liver surgery will probably be the implementation of a multidisciplinary holistic approach to the liver-diseased patient that will ensure the best and most efficient treatments in the future.
本文描述了现代肝脏外科从20世纪中叶开始的快速发展。克劳德·库尼亚研究并描述了肝脏的分段解剖结构，托马斯·斯塔兹进行了首例肝脏移植手术，亨利·比斯穆特引入了解剖性肝切除术的概念。自早期以来，肝脏外科已经取得了显著发展。时至今日，人们运用前沿技术应用创新技术：术中超声、肝脏血管阻断技术、用于维持内环境稳定和解剖的新设备、用于肝切除术的腹腔镜技术以及能够切除以前无法切除的肿瘤的新药。肝脏外科的下一阶段可能是对肝脏疾病患者实施多学科整体治疗方法，这将确保未来能提供最佳、最有效的治疗。
