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04:41 min
March 10th, 2023
DOI :
10.3791/64675-v
Chapters
0:04
Introduction
0:46
Surgical Technique
3:32
Results: Histological Analysis of Resected Liver and Postoperative Analysis of the Liver
4:01
Conclusion
Transcript
使用这种微创方法更容易获得广泛的负边缘,并避免肿瘤组织的扩散。这种方法有助于最大化R0切除,并避免围手术期并发症。该技术可用于腹腔镜肝切除手术,涉及切除四到五个节段。
由于这种微创手术方法需要开放手术的经验,因此建议进行适当的开放手术培训。在患者准备好手术后,向上拉胆囊的眼底,并使用谐波手术刀进行卡洛特三角解离。注意用中等大小的止血夹结扎胆囊管和动脉。
避免切割胆囊,主要将胆囊留在原位。小心地分离左冠状动脉和三角韧带,避免损伤相邻的膈静脉分支。然后,通过从连接的 1
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Summary
许多研究已经证明了解剖切除术的优点。尽管如此,解剖切除是否能提高R0切除率仍存在争议。因此,本研究描述了腹腔镜肝切除术中整体概念结合解剖切除的创新方法,可以减少术后复发和转移。
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