Application progress of laparoscopy in the treatment of liver tumors

Zhiyu Xiao, Chuan-chao He, Jie Wang
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Abstract

Laparoscopy has been used for the treatment of liver tumors for nearly 30 years. Since then, the world's liver surgeon giving a great deal of energy and enthusiasm to this tool, expanding indications and optimizing laparoscopy operation procedures, making indications of laparoscopic liver resection from the edge of liver benign tumors gradually extended to the left lobe, right lobe, left or right anterolateral segmentectomy or posterosuperior segmentectomy, right posterior sectionectomy, central hepatectomy, and extended left/right hepatectomy or caudate lobe. Accompanied by image technology upgrade, energy equipment update and the delicate anatomic stratagem, the security, effectiveness, advantages of laparoscopy in treatment of liver tumor got fully verified recently. There are plenty of basic and clinical research also fully confirmed the perioperative advantage of laparoscopic in liver cancer treatment. For the long-term therapeutic effect, continued case observation and strategy adjustment are still required in future. Key words: Laparoscopy; Hepatectomy; Liver neoplasms
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腹腔镜技术在肝脏肿瘤治疗中的应用进展
腹腔镜用于肝脏肿瘤的治疗已有近30年的历史。此后,世界肝外科医生对这一工具投入了大量的精力和热情,扩大了适应症,优化了腹腔镜手术程序,使腹腔镜肝切除术的适应症从肝脏良性肿瘤边缘逐渐扩展到左叶、右叶、左或右前外侧节段切除术或后上节段切除术、右后段切除术、中央肝切除术、扩展左/右肝切除术或尾状叶。近年来,伴随着影像技术的升级、能源设备的更新和精细的解剖策略,腹腔镜治疗肝脏肿瘤的安全性、有效性、优越性得到了充分的验证。大量的基础和临床研究也充分证实了腹腔镜在肝癌治疗中的围手术期优势。为了达到长期的治疗效果,今后还需要继续进行病例观察和策略调整。关键词:腹腔镜;肝切除术;肝脏肿瘤
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来源期刊
中国医师杂志
中国医师杂志 Medicine-Medicine (all)
CiteScore
0.10
自引率
0.00%
发文量
20937
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