Hou Ziqi, Xie Qingyun, Qiu Guoteng, Jin Zhaoxing, Mi Sizheng, Huang Jiwei
Department of Liver Surgery and Liver Transplantation Centre, West China Hospital, Sichuan University, Chengdu, China.
Surg Endosc. 2022 Nov;36(11):7949-7960. doi: 10.1007/s00464-022-09312-9. Epub 2022 May 16.
Since the first laparoscopic wedge resection reported by Reich, laparoscopic liver resection (LLR) has been progressively developed, acquiring safety and feasibility. The time has witnessed a milestone leap for laparoscopic hepatectomy from pure laparoscopic partial hepatectomy to anatomical hepatectomy and from minor liver resection to major liver resection. The numerous previous studies have paid more attention to the short-time and long-time surgical outcomes caused by surgical techniques corresponding to various segments and approaches. However, focus on trocar layouts remains poorly described, but it plays an indispensable role in surgical process.
We have searched PubMed for English language articles with the key words "trocar," "laparoscopic liver resection," and "liver resection approaches."
This review highlighted each type of trocar layouts corresponding to specific circumstances, including targeted resection segments with various approaches. Notably, surgeon preferences and patients body habitus affect the trocar layouts to some extent as well.
Although there were fewer researches focus on trocar layouts, they determine the operation field and manipulation space and be likely to have an impact on outcomes of surgery. Therefore, further studies are warranted to firm the role of trocar layouts in LLR.
自赖希首次报道腹腔镜楔形切除以来，腹腔镜肝切除术（LLR）得到了逐步发展，并具备了安全性和可行性。这一时期见证了腹腔镜肝切除术从单纯的腹腔镜部分肝切除术到解剖性肝切除术，从小范围肝切除到大范围肝切除的里程碑式飞跃。此前众多研究更多地关注了与不同肝段和手术入路相对应的手术技术所导致的短期和长期手术结果。然而，对于套管针布局的关注仍然很少被描述，但它在手术过程中起着不可或缺的作用。
我们在PubMed上搜索了关键词为“套管针”“腹腔镜肝切除术”和“肝切除入路”的英文文章。
本综述重点介绍了与特定情况相对应的每种套管针布局类型，包括不同入路的目标切除肝段。值得注意的是，术者偏好和患者身体状况在一定程度上也会影响套管针布局。
尽管关于套管针布局的研究较少，但它们决定了手术视野和操作空间，并且可能对手术结果产生影响。因此，有必要进一步研究以明确套管针布局在LLR中的作用。
