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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 ›› 2026, Vol. 15 ›› Issue (03) : 281 -289. doi: 10.3877/cma.j.issn.2095-3232.2026.03.001

所属专题： 指南共识；

指南与共识

Laennec间隙引导肝胆外科手术专家共识（2026版）
国际肝胆胰协会中国分会   
  1. 1. 华中科技大学同济医学院附属同济医院肝脏外科中心，武汉　430030
    2. 南京大学医学院附属鼓楼医院肝胆胰中心，南京　210008
  • 收稿日期:2025-12-23 出版日期:2026-06-10
  • 基金资助:
    国家自然科学基金(82173129，82372834，U25A20104); 南京鼓楼医院临床研究专项资金面上项目(2021-LCYJ-MS-122); 中国科技期刊卓越行动计划(卓越二期-B1-009)

Expert consensus on Laennec capsule guided hepatobiliary surgery (2026 edition)

Chinese Chapter of the International Hepato-Pancreato-Biliary Association   

  1. 1. Department of Hepatobiliary Surgery, Tongji Hospital, Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430030, China
    2. Hepatobiliary and Pancreatic Center, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
    3. Department of Hepatobiliary Surgery, the First Affiliated Hospital (Southwest Hospital)of Army Medical University, Editorial Board of Chinese Journal of Digestive Surgery, Chongqing 400038, China
  • Received:2025-12-23 Published:2026-06-10
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国际肝胆胰协会中国分会. Laennec间隙引导肝胆外科手术专家共识（2026版）[J/OL]. 中华肝脏外科手术学电子杂志, 2026, 15(03): 281-289.

Chinese Chapter of the International Hepato-Pancreato-Biliary Association. Expert consensus on Laennec capsule guided hepatobiliary surgery (2026 edition)[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2026, 15(03): 281-289.

Laennec包膜是覆盖肝脏内外实质的固有纤维结缔组织，其在外科手术中的价值日益凸显。国际肝胆胰协会中国分会组织国内该领域专家制订《Laennec间隙引导肝胆外科手术专家共识（2026版）》（以下简称共识）。该共识基于循证医学原则，系统归纳Laennec包膜的解剖界定及在肝胆外科手术中的应用，明确Laennec包膜与Glisson鞘、肝静脉及下腔静脉解剖间隙，提出以Laennec间隙为引导的手术入路，旨在规范手术操作流程、提高手术安全性与疗效，推动手术方案的推广和标准化，为未来研究指明方向。

关键词: 肝脏疾病, Laennec包膜, 解剖性肝切除, Laennec入路, 腹腔镜, 共识

The Laennec capsule is an intrinsic fibrous connective tissue covering the intrahepatic and extrahepatic parenchyma. The Chinese Chapter of the International Hepato‐Pancreato‐Biliary Association organized domestic experts in this field to formulate the Expert consensus on Laennec capsule guided hepatobiliary surgery (2026 edition). Based on evidence‐based medicine principles, the consensus systematically summarizes the anatomical definition of Laennec capsule and its applications in hepatobiliary surgery, clarifies the anatomical spaces between Laennec capsule and Glisson sheath, hepatic veins, and inferior vena cava, and proposes the Laennec capsule guided surgical approach, aiming to standardize surgical procedures,improve surgical safety and efficacy, promote the popularization and stardardization of surgical plans, outline future directions in researches.

Key words: Liver diseases, Laennec capsule, Anatomic hepatectomy, Laennec approach, Laparoscopy, Consensus
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