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中华肝脏外科手术学电子杂志 ›› 2025, Vol. 14 ›› Issue (03) : 354 -359. doi: 10.3877/cma.j.issn.2095-3232.2025.03.004

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肝血流阻断技术在腹腔镜肝切除中应用进展
吕春辉1, 吐尔洪江·吐逊1,()   
  1. 1. 830054 乌鲁木齐,新疆医科大学第一附属医院消化血管外科中心 肝脏·腔镜外科
  • 收稿日期:2024-12-30 出版日期:2025-06-10
  • 通信作者: 吐尔洪江·吐逊
  • 基金资助:
    国家自然科学基金(82260411,82270632)新疆医科大学国家级高层次人才培育项目(XYD2024GR08)新疆维吾尔自治区青年拔尖人才项目(20243124910)

Progress in application of hepatic blood flow occlusion in laparoscopic hepatectomy

Chunhui Lyu1   

  1. 1. Department of Liver and Laparoscopic Surgery, Digestive Vascular Surgery Center,the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
  • Received:2024-12-30 Published:2025-06-10
引用本文:

吕春辉, 吐尔洪江·吐逊. 肝血流阻断技术在腹腔镜肝切除中应用进展[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(03): 354-359.

Chunhui Lyu. Progress in application of hepatic blood flow occlusion in laparoscopic hepatectomy[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(03): 354-359.

根治性手术切除目前仍是肝肿瘤主要的治疗方式。对拥有门静脉和肝动脉两大血液供应系统的肝脏而言,肝内结构复杂,术中极易出血。腹腔镜肝切除因其创口小、疼痛少、恢复快等优势已在临床上被广泛应用。临床上可通过多种方式控制术中出血,如不同肝门阻断方式的选择、不同操作器械的使用等。本综述将对当前主流肝血流阻断技术在腹腔镜肝切除手术中的应用进行探讨,旨在为临床实践提供指导。

Radical surgical resection remains the main treatment for liver tumors. For the liver with two blood supply systems, portal vein and hepatic artery, internal structure of the liver is complex and the risk of intraoperative bleeding is high. Laparoscopic hepatectomy has been widely applied in clinical practice due to multiple advantages of small incision, slight pain and rapid recovery. Multiple methods can be employed to control intraoperative bleeding, such as the selection of different methods of hepatic portal occlusion and use of different surgical instruments, etc. In this article, the application of current main hepatic blood flow occlusion technologies in laparoscopic hepatectomy was reviewed, aiming to provide guidance for clinical practice.

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