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单中心全腹腔镜活体供体右半肝切除术可行性的经验

A Single Center Experience for a Feasibility of Totally Laparoscopic Living Donor Right Hepatectomy.

作者信息

Park Min-Su

机构信息

Department of Surgery, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.

出版信息

J Minim Invasive Surg. 2019 Jun;22(2):47-48. doi: 10.7602/jmis.2019.22.2.47. Epub 2019 Jun 15.

Abstract

Liver transplantation from living donors is a potential treatment for end-stage liver disease. With advancement of laparoscopic techniques and development of surgical devices, laparoscopic liver resection is becoming increasingly popular because of the minimal invasiveness and excellent cosmetic outcomes. However, owing to technical difficulties, pure laparoscopic donor hepatectomy develops relatively slowly. Pure laparoscopic donor hepatectomy has the great advantage of reducing morbidity, minimizing tissue trauma, and improving postoperative pain and cosmetic outcome. However, pure laparoscopic donor hepatectomy may result in a longer operation time and increased risk of bile duct injury. With continuous technical development and building experience for standardization of the technique, pure laparoscopic donor hepatectomy is expected to be further expanded in the future.

摘要

活体供肝肝移植是终末期肝病的一种潜在治疗方法。随着腹腔镜技术的进步和手术器械的发展,腹腔镜肝切除术因其微创性和出色的美容效果而越来越受欢迎。然而,由于技术困难,单纯腹腔镜供肝切除术的发展相对缓慢。单纯腹腔镜供肝切除术具有降低发病率、减少组织创伤、改善术后疼痛和美容效果的巨大优势。然而,单纯腹腔镜供肝切除术可能导致手术时间延长和胆管损伤风险增加。随着技术的不断发展和技术标准化经验的积累,单纯腹腔镜供肝切除术有望在未来得到进一步推广。

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