Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Yu Cai; Yuan Feng; Hongli Zhou; Yunxi Tao; Yong Peng; Yunhong Tian

doi:10.3791/66907

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Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

腹腔镜左侧切片切除术:在肝圆韧带和脐裂静脉的引导下

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03:33 min

September 27, 2024

DOI: 10.3791/66907-v

Yu Cai*¹, Yuan Feng*¹, Hongli Zhou¹, Yunxi Tao¹, Yong Peng¹, Yunhong Tian¹

¹Department of General Surgery,the Affiliated Nanchong Central Hospital of North Sichuan Medical College (University)

Please note that some of the translations on this page are AI generated. Click here for the English version.

腹腔镜左外侧断面切除术由圆韧带、肝韧带和脐裂静脉引导，即使没有控制低中心静脉压，也能有效控制术中出血，并防止实质夹层时失去方向。

我的研究重点是肝胆和胰腺肿瘤的微创手术治疗。在肝圆韧带和脐裂静脉的引导下，这种腹腔镜左侧横切术可有效控制术中出血，即使在没有受控的低中心静脉压的情况下也是如此。这些属性为患有心血管或脑血管疾病的患者提供了潜在的益处。

先进的成像方式，如吲哚菁绿荧光成像，可以提供胆道解剖结构的实时可视化，有助于手术计划和决策。我们技术的优势在于它避免了肝门夹层。其次，在肝实质解剖过程中，我们利用脐裂静脉的肝内解剖标志作为引导，以防止方向丢失。

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