肝脏手术的最新进展--新术语和现代技术

IF 1.7 Q2 SURGERY
V. Tripke, Nils Sommer
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引用次数: 0

摘要

摘要 肝脏手术是治愈肝脏恶性肿瘤的基石。然而,肝脏的解剖结构非常复杂,尽管技术上取得了许多进步,肝脏手术仍然与相关的发病率有关。全世界都采用布里斯班命名法对肝切除术进行分类。然而,这种命名法存在一些局限性,因为同一类型的切除术使用了多个术语。非解剖性切除术、多重切除术和双侧血管联合切除术均未提及。因此,人们提出了新的术语,以便对肝切除术进行精确而简单的分类。此外,近年来,肝脏外科引入了许多创新技术,如三维成像系统和吲哚青绿荧光技术,以便在术前和术中更好地识别肿瘤定位和重要的血管结构。微创技术在肝脏手术中的应用越来越频繁。其潜在优势包括术中失血少、疼痛轻、住院时间短。机器人系统的应用也对肝脏手术产生了影响,文献报道的病例数量也在不断增加。与腹腔镜肝脏切除术相比,机器人肝脏切除术的潜在优势将是未来研究的主题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An update on liver surgery – a new terminology and modern techniques
Abstract Liver surgery is the cornerstone of the curative treatment of malignant liver tumors. However, the liver anatomy is very complex, and liver surgery is still associated with relevant morbidity despite many technical advances. The Brisbane nomenclature is used worldwide to classify liver resection. However, this nomenclature has several limitations as multiple terms are used for the same type of resection. Non-anatomical resections, multiple resections, and combined bilio-vascular resections were not mentioned. Therefore, new terminologies have been proposed for the precise and simple classification of liver resection. Furthermore, in recent years, many technical innovations have been introduced in liver surgery, such as 3D imaging systems and indocyanine green fluorescence, for better preoperative and intraoperative identification of tumor localization and critical vascular structures. Minimally invasive techniques are used more frequently in liver surgery. Potential benefits include less intraoperative blood loss, less pain, and a shorter hospital stay. The implementation of robotic systems also has an impact on liver surgery, and the number of cases reported in the literature is constantly increasing. The potential benefits of robotic liver resection over laparoscopic liver resection will be the subject of future studies.
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来源期刊
CiteScore
5.40
自引率
0.00%
发文量
29
审稿时长
11 weeks
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