Liu R, Liu Q
Second Department of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Zhonghua Wai Ke Za Zhi. 2019 Jul 1;57(7):500-502. doi: 10.3760/cma.j.issn.0529-5815.2019.07.004.
Blood control technology and determination of hepatectomy plane are the core techniques of liver resection, which not only affect the operative performance, but also affect the prognosis of patients.The concept of pre-control the blood vessels in the hepatic segment which should be resected can effective control of bleeding during hepatectomy.A comprehensive application of the ischemic line guidance, the intraoperative ultrasound, the segmental portal staining, fluorescent staining, the hepatic vein-oriented technique, and three-dimensional technique are helpful to precisely determine the boundary of hepatic segment to be resected and guide the hepatectomy plane.
血流控制技术和肝切除平面的确定是肝切除的核心技术,不仅影响手术操作,还影响患者的预后。预先控制拟切除肝段血管的理念可有效控制肝切除术中的出血。综合应用缺血线引导、术中超声、肝段门静脉染色、荧光染色、肝静脉导向技术和三维技术有助于精确确定拟切除肝段的边界并指导肝切除平面。