Goumard C, Farges O, Laurent A, Cherqui D, Soubrane O, Gayet B, Pessaux P, Pruvot F-R, Scatton O
Service de chirurgie hépatobiliaire et transplantation hépatique, hôpital de la Pitié-Salpêtrière, UPMC, Assistance Publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
Service de chirurgie hépatobiliaire et transplantation hépatique, hôpital de la Pitié-Salpêtrière, UPMC, Assistance Publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
J Visc Surg. 2015 Apr;152(2):107-12. doi: 10.1016/j.jviscsurg.2015.02.003. Epub 2015 Mar 7.
Laparoscopic liver resection has been recognized as a safe and efficient approach since the Louisville Conference in 2008, but its use still remains confined to experienced teams in specialized centers, and may lack some standardization. The 2013 Session of French Association for Hepatobiliary and Pancreatic Surgery (ACHBT) specifically focused on laparoscopic liver surgery and the particular aspects and issues arising since the 2008 conference. Our objective is to provide an update and summarize the current French position on laparoscopic liver surgery. An overview of the current practice of laparoscopic liver resections in France since 2008 is presented. The issues surrounding standardization for left lateral sectionectomy and right hepatectomy, hybrid and hand-assisted techniques are raised and discussed. Finally, future technologies and technical perspectives are outlined.
自2008年路易维尔会议以来,腹腔镜肝切除术已被公认为是一种安全有效的方法,但它的应用仍局限于专业中心的经验丰富的团队,并且可能缺乏一些标准化。法国肝胆胰外科学会(ACHBT)2013年会议专门聚焦于腹腔镜肝脏手术以及自2008年会议以来出现的特殊方面和问题。我们的目标是提供最新情况并总结法国目前在腹腔镜肝脏手术方面的立场。本文介绍了自2008年以来法国腹腔镜肝切除术的当前实践概况。围绕左外侧段切除术和右肝切除术的标准化、混合技术和手辅助技术等问题进行了提出和讨论。最后,概述了未来的技术和技术展望。