Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, South Korea; Department of Surgery, Fundeni Clinical Institute, Bucharest, Romania.
Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, South Korea.
Surg Oncol. 2020 Sep;34:208-211. doi: 10.1016/j.suronc.2020.04.024. Epub 2020 May 4.
Laparoscopic liver resection is a demanding procedure that is undergoing continuous development. The surgeon's skill is constantly improving, new surgical instruments are being introduced, and the indications for this procedure are expanding. However, there is still great concern about patient safety during the procedure and it is not commonly performed in many centers, although numerous studies have confirmed the safety and feasibility of laparoscopic liver techniques. Our center tries to use laparoscopy routinely for most cases and we do not consider conversion to open surgery to be a complication. We present our current opinion on patient selection for laparoscopic liver resection in the hope of encouraging more centers to adopt and develop this technique. Although laparoscopic liver resection is not an official standard of care, it should be considered according to the surgeon's experience and available resources.
腹腔镜肝切除术是一项要求很高的手术，正在不断发展。外科医生的技术在不断提高，新的手术器械不断推出，该手术的适应证也在不断扩大。然而，人们仍然非常关注手术过程中的患者安全问题，尽管许多研究已经证实了腹腔镜肝技术的安全性和可行性，但该手术在许多中心仍未得到广泛开展。我们中心试图对大多数病例常规使用腹腔镜，并且我们不认为转为开腹手术是一种并发症。我们提出了目前对腹腔镜肝切除术患者选择的看法，希望鼓励更多的中心采用和发展这项技术。尽管腹腔镜肝切除术不是官方的护理标准，但应根据外科医生的经验和可用资源来考虑。
