Schön M R, Justinger C
Klinik für Allgemein- und Visceralchirurgie, Städtisches Klinikum Karlsruhe, 76133, Karlsruhe, Deutschland.
Chirurg. 2017 Jun;88(6):469-475. doi: 10.1007/s00104-017-0413-4.
Laparoscopic liver surgery has become an established procedure in the treatment of liver tumors. Due to its short-term and long-term advantages, the number of centers with experience in laparoscopic liver surgery has greatly increased in the last few years. The complexity of the interventions performed has nearly reached the level of open surgery. This article describes the importance of laparoscopic hepatic surgery and discusses the evidence for the procedure. In addition, the indications for the most frequently resected tumors, metastases of colorectal cancer and hepatocellular carcinoma are explained together with important aspects of certain tumor localizations. In addition, the authors explain the technical aspects of the surgical technique and give an overview on new developments. To illustrate the possibilities of laparoscopic liver surgery, a video of a complete laparoscopically performed associating liver partition and portal vein ligation (ALPPS) procedure is available as supplementary material.
腹腔镜肝脏手术已成为治疗肝脏肿瘤的既定术式。鉴于其短期和长期优势，过去几年中，具备腹腔镜肝脏手术经验的中心数量大幅增加。所实施干预措施的复杂性几乎已达到开放手术的水平。本文阐述了腹腔镜肝脏手术的重要性，并讨论了该术式的证据。此外，还解释了最常切除的肿瘤（结直肠癌肝转移和肝细胞癌）的适应证以及某些肿瘤定位的重要方面。此外，作者还解释了手术技术的技术要点，并概述了新进展。为说明腹腔镜肝脏手术的可能性，作为补充材料提供了一段完整的腹腔镜联合肝脏离断和门静脉结扎术（ALPPS）手术视频。
