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关于拉埃内克囊在肝胆外科手术中引导作用的进展

Progress on Laennec's capsule guidance for hepatobiliary surgery.

作者信息

Yu Decai, Xia Leizhou

机构信息

Division of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China.

出版信息

ILIVER. 2025 Aug 14;4(3):100183. doi: 10.1016/j.iliver.2025.100183. eCollection 2025 Sep.

Abstract

Anatomic resection remains a fundamental principle in the surgical management of hepatobiliary diseases, whether performed through traditional open surgery or advanced minimally invasive approaches such as laparoscopic or robotic-assisted techniques. However, a universally accepted and clearly defined anatomical framework for intraoperative anatomical delineation remains lacking. The growing clinical adoption of Laennec membrane-guided anatomical strategies has been associated with notable improvements in surgical efficacy and anatomical precision. This approach facilitates clear identification of anatomical layers, enhances visualization of key landmarks, and enables the execution of precise anatomical resections. As a result, it promotes standardization and reproducibility across surgical procedures. This article presents a comprehensive review of operative techniques and critical technical considerations for Laennec membrane-guided anatomical procedures in hepatobiliary surgery, establishing a three-dimensional anatomical foundation for clinical practice to support the standardization and broader adoption of precision-oriented hepatobiliary surgical methodologies.

摘要

解剖性切除仍然是肝胆疾病外科治疗的基本原则,无论是通过传统的开放手术还是先进的微创方法,如腹腔镜或机器人辅助技术来进行。然而,目前仍缺乏一个普遍接受且明确界定的用于术中解剖界定的解剖框架。临床对兰氏膜引导解剖策略的应用日益广泛,这与手术疗效和解剖精确性的显著改善相关。这种方法有助于清晰识别解剖层次,增强关键标志的可视化,并能够实施精确的解剖性切除。因此,它促进了手术操作的标准化和可重复性。本文全面综述了肝胆外科中兰氏膜引导解剖手术的操作技术及关键技术要点,为临床实践建立三维解剖基础,以支持精准肝胆外科手术方法的标准化及更广泛应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9923/12414879/76df782cd9bc/gr1.jpg

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