Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique

HongBo Liang; ChuYing Huang; ShuWen Lin

doi:10.3791/67705

JoVE Journal
Medicine

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JoVE Journal Medicine

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique

基于 Laennec 胶囊技术的右前叶腹腔镜解剖切除术

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06:11 min

May 2, 2025

DOI: 10.3791/67705-v

HongBo Liang¹, ChuYing Huang¹, ShuWen Lin¹

¹Department of General Surgery,Bin Hai Wan Central Hospital of Dongguan

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该方案描述了利用 Laennec 胶囊概念的腹腔镜解剖右前剖面切除术，并结合全面的术前治疗。该方法能够对与主要血管结构密切相关的肝细胞癌（HCC）病例进行精确肿瘤切除，从而提高手术安全性、疗效和长期患者预后。

开始进入手术部位并充分活动右侧肝韧带。然后使用术中超声确定肿瘤边界并可视化肝静脉、门静脉、胆管和肝动脉。将高频超声探头放置在适当的肝脏区域，以评估肿瘤大小、形状及其解剖关系。

现在使用电烙在肝脏表面标记切除边缘。使用彩色多普勒超声评估肝静脉、门静脉和肝动脉的血流，以准确识别结构和预防损伤。使用成像实时监测肿瘤的血管分布和与主要血管的接近程度。

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