腹腔镜肝切除术 : 图谱和技术

1 Anatomy of the Liver in the Laparoscopic Situation

1.1 Perihepatic Ligaments

1.2 The Porta Hepatis

1.3 Hepatic Veins

1.4 Short Hepatic Veins

2 Instruments for Laparoseopie Hepateetomy by Curettage and Aspiration

2.1 Basic Equipments

2.2 Trocars

2.3 Instruments for Liver Transection

2.4 Instruments for Liver Mobilization

2.5 Instruments for Dissection

2.6 Instruments for Ligation

2.7 Instruments for Tissue Division

2.8 Other Instruments Used in Laparoscopic Hepatectomy

References

3 Laparoseopie Left Lateral Segmenteetomy

3.1 Indications and Contraindications

3.2 Patient Position and Trocars' Position

3.3 Laparoscopic Left Lateral Segmentectomy

References

4 Laparoseopie Left Hemihepateetomy

4.1 Indications and Contraindications

4.2 Patient Position and Trocars' Position

4.3 Laparoscopic Left Hemihepatectomy with Selective Left Inflow Occlusion and Occlusion of Left Hepatic Vein

4.4 Laparoscopic Left Hemihepatectomy with Selective Left Inflow Occlusion

References

5 Laparoscopic Right Hemihepatectomy

5.1 Indications and Contraindications

5.2 Patient Position and Trocars' Position

5.3 Laparoscopic Right Hemihepatectomy with Selective Right Inflow Occlusion

References

6 Laparoscopic Resection of Caudate Lobe

6.1 Indications and Contraindications

6.2 Patient Position and Trocars' Position

6.3 Laparoscopic Isolated Resection of Caudate Lobe

6.4 Laparoscopic Combined Resection of Caudate Lobe: Laparoscopic Left Lateral Segmentectomy and Resection of Caudate Lobe

6.5 Laparoscopic Combined Resection of Caudate Lobe: Laparoscopic Left Hemihepatectomy and Resection of Caudate Lobe

References

7 Laparoseopic Non-Anatomical Liver Resection

7.1 Indications and Contraindications

7.2 Patient Position and Trocars' Position

7.3 Laparoscopic Local Resection for Tumors in the Right Anterior Section

7.4 Laparoscopic Local Resection for Multiple Tumors in Segment IV

7.5 Laparoscopic Bisegmentectomy (Segments VI, VII)

References

8 Two-Stage Completely Laparoscopic Hemihepatectomy:Completely Laparoscopic ALPPS Using Round-the-Liver Ligation..

8.1 Indications and Contraindications

8.2 Patient Position and Trocars' Position

8.3 Two-Stage Laparoscopic Left Hemihepatectomy

8.4 Two-Stage Laparoscopic Right Hemihepatectomy

References

9 Laparoscopic Radical Resection of Gallbladder Cancer

9.1 Indications and Contraindications

9.2 Patient Position and Trocars' Position

9.3 Laparoscopic Radical Resection of Gallbladder Cancer

References

10 Other Techniques for Laparoscopic Hepatectomy

10.1 Laparoscopic Liver Transection with an Ultrasonic Dissector

10.2 Laparoscopic Liver Transection with the Cavitron Ultrasonic Surgical Aspirator (CUSA)

10.3 Laparoscopic Liver Resection Using a Bipolar Vessel-Sealing Device: LigaSure

10.4 Laparoscopic Liver Transection with Linear Staplers

10.5 Laparoscopic Liver Transection with the Habib 4x Device

References

Index

腹腔镜手术具有创伤小、恢复快、美容、住院时间短等优点。但利用腹腔镜进行肝切除术，存在很多困难，因为肝脏血运丰富，腹腔镜下肝门血流阻断较为困难，术中出血多、风险大。《腹腔镜肝切除术（附光盘图谱和技术英文版）》作者蔡秀军教授在过去的十几年，开创性地进行了腹腔镜肝切除的探索研究，建立了腹腔镜刮吸解剖法肝切除技术，完成了完全腹腔镜下肝切除术600余例，为国际最大病例组之一。本书即是对其建立的腹腔镜刮吸解剖法肝切除术的经验总结。全书以不同腹腔镜肝切除术式为依据，包括腹腔镜下肝脏解剖及腹腔镜刮吸解剖法肝切除术手术器械；根据手术方法，包括腹腔镜左半肝切除术、腹腔镜右半肝切除术、腹腔镜左肝外侧叶切除术、腹腔镜尾状叶切除术等，详细介绍了腹腔镜刮吸解剖法肝切除术的不同术式及技术方法。