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外科研究与新技术 ›› 2013, Vol. 2 ›› Issue (3): 139-144.

• 专家论坛 • 上一篇    下一篇

精细肝离断精准肝切除

赵泽明,范跃祖   

  1. 同济大学附属同济医院普外科,上海 200065
  • 出版日期:2013-09-28 发布日期:2013-03-25
  • 通讯作者: 范跃祖(1958-),男,浙江人,医学博士,教授,博士生导师。E-mail:fanyuezu@hotmail.com
  • 作者简介:赵泽明(1973-),男,山西人,副主任医师,德国医学博士,肝胆外科及消化道肿瘤诊治。

Fine liver transection and precise hepatectomy

ZHAO Ze-ming, FAN Yue-zu   

  1. Department of Surgery,Tongji Hospital,Tongji University School of Medicine,Shanghai 200065, China
  • Online:2013-09-28 Published:2013-03-25

摘要: 精准肝切除时代已经到来。各种各样的肝脏实质离断技术引入临床,包括指捏法、钳夹法、超声吸引刀、水射刀、射频切割闭合器和多功能手术解剖器等。精准肝切除更专注于快速精细肝实质离断,术中失血量的最小化,术后的快速恢复,及术后长期生存的最佳结果。随着现代科学技术的进步,精准肝切除必将具有广阔的应用前景。

关键词: 精准肝切除, 肝离断, 出血

Abstract: Precise liver resection era is coming.Various techniques of liver parenchymal transection have been introduced,including the finger fracture technique,clamp-crush method,Cavitron ultrasonic surgical aspirator (CUSA),waterjet,TissueLink,Ligasure,radio frequency dissection sealer and the Peng’S multifunction operative dissector.Precise hepatectomy much more focus on rapid fine liver parenchymal transection,minimizing blood loss during operation,fast recovery,optimal outcome after surgery and long-term survival.With advances of modern science and technology,Precise hepatectomy surely have broadened application prospects.

Key words: Precise hepatectomy, Liver transection, Hemorrhage

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