Department of Hepatic Surgery, Division of Life Sciences and Medicine, The First Affiliated Hospital, University of Science and Technology of China, Hefei, Anhui, China.
Department of Emergency Medical, Division of Life Sciences and Medicine, The First Affiliated Hospital, University of Science and Technology of China, Hefei, Anhui, China.
World J Surg. 2024 Aug;48(8):1967-1972. doi: 10.1002/wjs.12255. Epub 2024 Jun 18.
To provide a standardized approach for laparoscopic access to dissection of the first and second porta hepatis. By opening a portion of the hepatic serosa and subsequently exposing the hepatic Laennec's capsule, dissection of the first and second porta hepatis was performed along the Laennec's capsule. Utilizing the "Hepatic Serosal Incision" approach along the Laennec's capsule enabled the precise dissection of the left and right hepatic pedicles of the first porta hepatis and the root of the hepatic veins at the second porta hepatis under laparoscopy. This method allows for rapid and accurate access to the space between Laennec's capsule and the hepatic hilar plate system under laparoscopy as well as clear exposure of the root of the hepatic veins and their branches, facilitating more precise laparoscopic anatomical liver resection.
提供一种腹腔镜进入第一和第二肝门解剖的标准化方法。通过打开部分肝浆膜，随后暴露肝的 Laennec 囊，沿着 Laennec 囊进行第一和第二肝门的解剖。在腹腔镜下，沿着 Laennec 囊使用“肝浆膜切开”方法，可以精确地解剖第一肝门的左右肝蒂和第二肝门的肝静脉根部。这种方法可以在腹腔镜下快速准确地进入 Laennec 囊和肝门板系统之间的空间，并清晰地暴露肝静脉的根部及其分支，从而更精确地进行腹腔镜解剖性肝切除术。
