Lee Seunghwan
Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
J Minim Invasive Surg. 2021 Dec 15;24(4):182-183. doi: 10.7602/jmis.2021.24.4.182.
It has been 30 years since laparoscopic liver resection was first introduced, and, in the beginning, wedge resection or nonanatomical liver resection was mainly performed. With the development of surgical techniques and instruments, many centers are currently performing major liver resections and even difficult anatomical liver resections such as segment VI, VII, and VIII and caudate segment. However, laparoscopic surgery has limitations in instrument manipulation, and due to the nature of liver resection surgery, massive bleeding may occur. Therefore, it is necessary to make efforts to minimize the bleeding and reduce the conversion to laparotomy due to bleeding.
自首次引入腹腔镜肝切除术以来已有30年，起初主要进行楔形切除术或非解剖性肝切除术。随着手术技术和器械的发展，目前许多中心正在进行大型肝切除术，甚至是困难的解剖性肝切除术，如第六、七、八段和尾状叶。然而，腹腔镜手术在器械操作方面存在局限性，并且由于肝切除手术的性质，可能会发生大量出血。因此，有必要努力将出血降至最低，并减少因出血而转为开腹手术的情况。
