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后外侧段的腹腔镜手术:经胸入路与经腹入路的比较

Laparoscopic surgery of postero-lateral segments: a comparison between transthoracic and abdominal approach.

作者信息

Fuks David, Gayet Brice

机构信息

Department of Digestive Disease, Institut Mutualiste Montsouris, Université Paris-Descartes, 42 Boulevard Jourdan, 75014, Paris, France,

出版信息

Updates Surg. 2015 Jun;67(2):141-5. doi: 10.1007/s13304-015-0320-5. Epub 2015 Jul 12.

DOI:10.1007/s13304-015-0320-5
PMID:26164141
Abstract

Lesions located in the postero-lateral part of the liver (segments 6 and 7) have been considered as poor candidates for a laparoscopic liver resection due to the limited visualization and difficulty in bleeding control. Although no comparison has been done between transthoracic and abdominal resection of tumors located in the postero-lateral segments, we propose a description of these different strategies, specifying the benefits as well as the disadvantages of the various approaches.

摘要

位于肝脏后外侧部分(第6和第7段)的病变,由于可视范围有限且难以控制出血,一直被认为不适合进行腹腔镜肝切除术。尽管尚未对位于后外侧段的肿瘤进行经胸切除和经腹切除的比较,但我们建议对这些不同的策略进行描述,明确各种方法的优缺点。

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本文引用的文献

1
Laparoscopic liver resection in the semiprone position for tumors in the anterosuperior and posterior segments, using a novel dual-handling technique and bipolar irrigation system.采用新型双手操作技术和双极冲洗系统,在半俯卧位下行腹腔镜肝切除术治疗肝前上段和后段肿瘤。
Surg Endosc. 2014 Aug;28(8):2484-92. doi: 10.1007/s00464-014-3469-y. Epub 2014 Mar 13.
2
Laparoscopic hepatic posterior sectionectomy: a hand-assisted approach.腹腔镜肝后叶切除术:手助入路。
Ann Surg Oncol. 2013 Apr;20(4):1266. doi: 10.1245/s10434-012-2750-3. Epub 2012 Dec 16.
3
Laparoscopic right posterior sectionectomy for hepatocellular carcinoma using a modified liver-hanging maneuver.
经胸经膈肌射频消融辅助胸腔镜下肝段 VIII 肿瘤切除术的应用。
J Gastrointest Surg. 2019 Aug;23(8):1547-1548. doi: 10.1007/s11605-019-04172-6. Epub 2019 May 31.
4
[Technical aspects of laparoscopic liver surgery : Transfer from open to laparoscopic liver surgery].腹腔镜肝脏手术的技术要点:从开放肝脏手术向腹腔镜肝脏手术的转变
Chirurg. 2018 Dec;89(12):984-992. doi: 10.1007/s00104-018-0684-4.
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A comparison of laparoscopic resection of posterior segments with formal laparoscopic right hepatectomy for colorectal liver metastases: a single-institution study.腹腔镜下后段肝切除术与标准腹腔镜右半肝切除术治疗结直肠癌肝转移的比较:单中心研究
Surg Endosc. 2017 Jun;31(6):2560-2565. doi: 10.1007/s00464-016-5261-7. Epub 2016 Oct 17.
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J Laparoendosc Adv Surg Tech A. 2012 Jun;22(5):488-91. doi: 10.1089/lap.2011.0491. Epub 2012 Mar 30.
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Comparative evaluation of laparoscopic liver resection for posterosuperior and anterolateral segments.腹腔镜肝切除术治疗后上和前外侧段的对比评价。
Surg Endosc. 2011 Dec;25(12):3881-9. doi: 10.1007/s00464-011-1815-x. Epub 2011 Jul 7.
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Arch Surg. 2010 Nov;145(11):1109-18. doi: 10.1001/archsurg.2010.227.
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