关键词:

腹腔镜, 解剖性左肝切除, 入路, 肝实质优先

Abstract:

Objective： To investigate the safety and feasibility of hepatic parenchymal approach in laparoscopic anatomic left hepatectomy. Methods： A retrospective analysis was conducted on the clinical data of 151 patients who underwent laparoscopic left hepatectomy for benign diseases at the Department of Hepatobiliary Surgery， the Second People's Hospital of Qujing City from August 2018 to August 2021. According to the different surgical approaches， the patients were divided into a modified group and a traditional group. The modified group used a liver parenchyma priority approach for liver resection， while the traditional group used a pedicle-first approach. The preoperative conditions， surgical resection scope， intraoperative conditions， and postoperative outcomes were compared between the two groups. Results： There were no statistically significant differences（P>0.05） in preoperative and postoperative indicators，surgical resection scope， and intraoperative blood loss between the two groups. The modified group had significantly shorter operation time and first porta hepatis clamping time compared to the traditional group， with statistical significance （P<0.05）. Conclusion： Hepatic parenchyma priority approach is safe and feasible in laparoscopic left hepatectomy， which can simplify the complexity of surgery to a certain extent， effectively reduce the operation time and the time of blocking the first hepatic portal. It has clinical value for promotion.

Key words:

laparoscopy, anatomic left hepatectomy, approach, hepatic parenchyma priority