Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

Haopeng Wen; Nan Cheng; Jiancheng Tang; Songhang Liu; Hongbin Zhou; Xinyu Li; Liangqi Cao

doi:10.3791/64675

JoVE Journal
Cancer Research
Author Produced

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JoVE Journal Cancer Research

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

整体概念联合解剖切除在腹腔镜肝切除术中的应用

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04:41 min

March 10, 2023

DOI: 10.3791/64675-v

Haopeng Wen*¹, Nan Cheng*¹, Jiancheng Tang*¹, Songhang Liu¹, Hongbin Zhou¹, Xinyu Li¹, Liangqi Cao¹

¹Department of Hepatobiliary Surgery,the Second Affiliated Hospital of Guangzhou Medical University

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许多研究已经证明了解剖切除术的优点。尽管如此，解剖切除是否能提高R0切除率仍存在争议。因此，本研究描述了腹腔镜肝切除术中整体概念结合解剖切除的创新方法，可以减少术后复发和转移。

使用这种微创方法更容易获得广泛的负边缘，并避免肿瘤组织的扩散。这种方法有助于最大化R0切除，并避免围手术期并发症。该技术可用于腹腔镜肝切除手术，涉及切除四到五个节段。

由于这种微创手术方法需要开放手术的经验，因此建议进行适当的开放手术培训。在患者准备好手术后，向上拉胆囊的眼底，并使用谐波手术刀进行卡洛特三角解离。注意用中等大小的止血夹结扎胆囊管和动脉。

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