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使用盐水连接单极电凝剪刀(SLiC剪刀)方法经肝内Glisson途径行机器人解剖性肝段7切除术:附视频的技术病例报告

Intrahepatic Glissonean Approach for Robotic Anatomical Liver Resection of Segment 7 Using the Saline-Linked Monopolar Cautery Scissors (SLiC-Scissors) Method: A Technical Case Report With Videos.

作者信息

Fujikawa Takahisa, Uemoto Yusuke, Matsuoka Taisuke

机构信息

Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.

出版信息

Cureus. 2023 May 3;15(5):e38470. doi: 10.7759/cureus.38470. eCollection 2023 May.

Abstract

Anatomical hepatectomy of segment 7 (S7) is technically difficult due to its difficult accessibility. Here, we present our experience of robotic anatomical S7 subsectionectomy of the liver employing the saline-linked cautery scissors (SLiC-Scissors) technique. After the right lobe was fully mobilized, dissection of the Glissonean pedicle and hepatic venous branch of S7, as well as the liver parenchymal transection, were safely performed using the SLiC-Scissors method. Despite its technological complexity, the intrahepatic Glissonean approach for robotic anatomical S7 subsectionectomy of the liver employing the SLiC scissors method is safe and efficient.

摘要

由于第7肝段(S7)难以触及,其解剖性肝切除术在技术上具有挑战性。在此,我们介绍了我们使用盐水连接电灼剪刀(SLiC剪刀)技术进行机器人辅助S7肝段亚切除术的经验。在充分游离右叶后,使用SLiC剪刀方法安全地进行了S7肝段的肝门蒂和肝静脉分支的解剖以及肝实质离断。尽管技术复杂,但采用SLiC剪刀方法进行机器人辅助S7肝段亚切除术的肝内肝门入路是安全且有效的。

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