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中华肝脏外科手术学电子杂志

中华肝脏外科手术学电子杂志 ›› 2025, Vol. 14 ›› Issue (05) : 673 -679. doi: 10.3877/cma.j.issn.2095-3232.2025.05.003

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肝脏外科治疗理念的变迁与技术进步
袁文康, 张冲, 张超†()   
  1. 230022　合肥，安徽医科大学第一附属医院普通外科
  • 收稿日期:2025-04-20 出版日期:2025-10-10
  • 通信作者: 张超
  • 基金资助:
    国家自然科学基金(82303475); 安徽省高等学校科学研究项目(2022AH040161)

Changes in the concept and technical progress of liver surgery

Wenkang Yuan, Chong Zhang, Chao Zhang†()   

  1. Department of General Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
  • Received:2025-04-20 Published:2025-10-10
  • Corresponding author: Chao Zhang
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引用本文：

袁文康, 张冲, 张超. 肝脏外科治疗理念的变迁与技术进步[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(05): 673-679.

Wenkang Yuan, Chong Zhang, Chao Zhang. Changes in the concept and technical progress of liver surgery[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(05): 673-679.

肝脏外科相关疾病的治疗多采用以手术治疗为主的综合疗法，肝脏外科手术难度大，往往涉及复杂的解剖及精细的血管吻合。如何减少手术出血量、提高手术安全性、简化手术操作、降低并发症和死亡率，一直是肝脏外科领域研究的焦点。随着人们生活水平的提高，对医疗质量的要求随之提升，将微创外科、精准外科、加速康复外科（ERAS）理念融入肝脏外科诊疗过程，顺应时代发展的要求。而随着科技的进步，以三维可视化技术为代表数字化技术，推动了外科手术的智能化、精准化、微创化发展。本文就近年来肝脏外科治疗理念的变迁和技术进步做一阐述。

关键词: 肝切除术, 微创外科, 精准外科, 加速康复外科, 三维可视化, 腹腔镜肝切除术, 机器人肝切除术

Surgery-based comprehensive treatment is primarily adopted for liver surgery-related diseases. Liver surgery is highly challenging, which involves complex anatomy and fine vascular anastomosis. How to reduce the amount of bleeding, improve the safety of surgery, simplify surgical procedures, reduce the incidence of complications and mortality rate have been the focus of research in the field of liver surgery. With the improvement of living standards, the requirements for medical quality have been elevated accordingly. The concepts of minimally invasive surgery, precision surgery and enhanced recovery after surgery (ERAS) have been integrated into the diagnosis and treatment of liver surgery to meet the requirements in the modern era. With the progress in science and technology, digital technologies represented by three-dimensional visualization technology have accelerated the development of intelligent, precise and minimally invasive surgery. In this article, recent changes in the concept and technical progress of liver surgery were reviewed.

Key words: Hepatectomy, Minimally invasive surgery, Precision surgery, Enhanced recovery after surgery (ERAS), Three-dimensional visualization, Laparoscopic hepatectomy, Robotic hepatectomy
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