Bauschke Astrid, Kissler Herman, Settmacher Utz
Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07740, Jena, Deutschland.
Chirurg. 2021 Sep;92(9):853-860. doi: 10.1007/s00104-021-01380-2. Epub 2021 Mar 30.
Minimally invasive liver surgery is safe and can be performed with results practically equal to those in open surgery. There are different techniques of parenchyma dissection and hemostasis available for the safe performance of minor and major resections, both laparoscopically and robotics based. Due to its technical options robotics-based surgery is a further development of laparoscopy. Expertise in minimally invasive and in liver surgery are essential prerequisites.
微创肝脏手术是安全的,其手术效果与开放手术几乎相同。对于小型和大型肝切除术的安全实施,有多种肝实质离断和止血技术可供选择,包括腹腔镜手术和机器人辅助手术。基于技术选择,机器人辅助手术是腹腔镜手术的进一步发展。掌握微创技术和肝脏手术专业知识是必不可少的前提条件。