LAPAROSCOPIC LIVER SURGERY: NEW FRONTIERS

被引：42
作者：
Edwin, B. [1 ,2 ]
Nordin, A. [3 ]
Kazaryan, A. M. [1 ,4 ]
机构：
[1] Natl Hosp Norway, Oslo Univ Hosp, Intervent Ctr, N-0027 Oslo, Norway
[2] Natl Hosp Norway, Oslo Univ Hosp, Dept Hepat Gastrointestinal & Paediat Surg, N-0027 Oslo, Norway
[3] Helsinki Univ Hosp, Transplantat & Liver Surg Unit, Helsinki, Finland
[4] Univ Oslo, Inst Clin Med, Fac Med, Oslo, Norway
来源：
SCANDINAVIAN JOURNAL OF SURGERY | 2011年 / 100卷 / 01期
关键词：
Laparoscopic surgery; liver resection; surgical outcomes; morbidity; mortality; survival; METASTATIC COLORECTAL-CANCER; CENTRAL VENOUS-PRESSURE; HEPATOCELLULAR-CARCINOMA; HEPATIC RESECTION; SURGICAL-TREATMENT; OPEN HEPATECTOMY; SHORT-TERM; POSTEROSUPERIOR SEGMENTS; ANATOMIC RESECTION; WEDGE RESECTION;
D O I：
10.1177/145749691110000110
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Laparoscopic liver resection (LHR) has shown classical advantages of minimally invasive surgery over open counterpart. In spite of introduction in early 1990's only few centres worldwide adapted LHR to routine practice. It was due to considerable technical challenges and uncertainty about oncologic outcomes. Surgical instrumentation and accumulation of surgical experience has largely enabled to solve many technical considerations. Intraoperative navigation options have also been improved. Consequently indications have been drastically expanded nearly reaching criteria equal to open liver resection in expert centres. Recent studies have verified oncologic integrity of LHR. However, mastering of LHR is still a quite demanding task limiting expansion of this patient friendly technique. This emphasizes the necessity of systematic training for laparoscopic liver surgery. This article reviews the state of the art of laparoscopic liver surgery lightening burning issues of research and clinical practice.
引用
收藏
页码：54 / 65
页数：12
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