Ikoma Naruhiko, Itano Osamu, Oshima Go, Kitagawa Yuko
Department of Surgery, Keio University School of Medicine, Tokyo, Japan Department of Surgery, University of Texas Health Science Center at Houston, Houston, TX.
Surg Laparosc Endosc Percutan Tech. 2015 Feb;25(1):e21-e23. doi: 10.1097/SLE.0000000000000108.
Laparoscopic liver resection is gaining popularity because of the availability of new laparoscopic instruments and advanced techniques. Laparoscopic liver mobilization is not only necessary for pure laparoscopic liver resection but also for laparoscopy-assisted hepatectomy. Laparoscopy-assisted hepatectomy significantly reduces the length of the laparotomy incision, and it is a good educational transition to the more advanced laparoscopic liver resection. Laparoscopic liver mobilization is a simple and easy procedure if surgeons know what challenges to expect. Here, the technique of liver mobilization is summarized, along with those challenges.
由于新型腹腔镜器械的出现和先进技术的发展，腹腔镜肝切除术越来越受欢迎。腹腔镜肝游离不仅对于单纯腹腔镜肝切除术是必要的，对于腹腔镜辅助肝切除术也是必要的。腹腔镜辅助肝切除术显著缩短了剖腹手术切口的长度，并且是向更先进的腹腔镜肝切除术的良好教学过渡。如果外科医生了解可能面临的挑战，腹腔镜肝游离是一个简单易行的手术。在此，总结了肝游离技术以及这些挑战。
