Choi YoungRok, Han Ho-Seong, Sultan Ahmad Mohammnad, Yoon Yoo-Seok, Cho Jae Young
Hepatogastroenterology. 2014 Nov-Dec;61(136):2317-20.
The remnant liver volume, its function and tumor clearance are important issues in laparoscopic liver resection (LLR). With increasing knowledge of LLR, surgical safety and oncological results after LLR are now similar to those after open liver resection. Anatomical LLR has emerged from the introduction of the Glissonean pedicle approach to open surgery. When anatomical LLR is performed with this approach, many types of resections are possible, including major resections, bisegmentectomy, and monosegmentectomy. This study provides important technical features of anatomical LLR with the Glissonean pedicle approach.
残余肝体积、其功能及肿瘤清除是腹腔镜肝切除术(LLR)中的重要问题。随着对LLR认识的不断增加,LLR后的手术安全性和肿瘤学结果目前已与开腹肝切除术后相似。随着Glissonean蒂入路应用于开放手术,解剖性LLR应运而生。采用该入路进行解剖性LLR时,可进行多种类型的切除,包括大切除、双段切除和单段切除。本研究提供了采用Glissonean蒂入路进行解剖性LLR的重要技术特点。