Department of Surgery, Amphia Hospital, Breda, The Netherlands.
Department of General and HPB Surgery, Royal Blackburn Hospital, Lancashire, UK.
Best Pract Res Clin Gastroenterol. 2014 Feb;28(1):111-21. doi: 10.1016/j.bpg.2013.11.012. Epub 2013 Dec 6.
In the past two decades there has been an enormous increase in laparoscopic liver surgery. There is a trend from limited to laparoscopic major resections and more centres are adopting laparoscopic liver surgery as a standard of care. Although no randomized clinical trials are published, different reports on minor and major hepatectomies and meta-analyses suggest (at least) equal outcomes and cost-effectiveness compared to open procedures.
在过去的二十年中，腹腔镜肝手术有了巨大的发展。目前的趋势是从有限的腹腔镜肝切除术向腹腔镜肝切除术发展，更多的中心正在将腹腔镜肝切除术作为一种常规治疗方法。虽然没有随机临床试验发表，但不同的小肝癌和大肝癌肝切除术报告和荟萃分析表明，与开放手术相比，腹腔镜肝切除术至少具有同等的疗效和成本效益。
