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首页> 外文期刊>Surgical Endoscopy >Laparoscopy-assisted right hepatic lobectomy using a wall-lifting procedure.
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Laparoscopy-assisted right hepatic lobectomy using a wall-lifting procedure.

机译：腹腔镜辅助的右肝肺叶切除术采用壁举手术。

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摘要

This article describes a new technique for performing a laparoscopy-assisted right hepatic lobectomy using a hanger wall-lifting procedure. The patient is placed in the left semi-lateral position. A cholecystectomy and hemi-hepatic vascular inflow control are then performed through a midline incision, through which the resected liver can be removed. Next, the right lower chest and right upper abdominal wall are lifted by two wires vertical to the abdominal wall. Two ports, a 5-mm port in right lateral abdomen for forceps and a 12-mm port just right of the umbilicus for the laparoscope, are inserted. The obtained view of the operative field in the right upper abdominal cavity is thus excellent. The laparoscopy-assisted mobilization of the right hepatic lobe is done with the assistance of a hand inserted through the midline incision, including a dissection of the hepato-renal ligament, the right triangular ligament, and the right coronary ligament. A parenchymal dissection is then performed using the Cavitron Ultrasonic Surgical Aspirator (CUSA) and the resected specimen is passed through the midline incision without any morcellation of the liver. This procedure can minimize the length of the wound, while avoiding the lethal complications associated with pneumoperitoneum.
机译：本文介绍了一种使用吊架壁提升程序执行腹腔镜辅助的右肝叶切除术的新技术。患者被放置在左半边位置。然后通过中线切口进行胆囊切除术和半肝血管流入控制，通过该切口可以切除切除的肝脏。接下来，用垂直于腹壁的两条线提起右下胸部和右上腹壁。插入了两个端口，一个是钳子位于右侧腹部的一个5毫米端口，另一个是用于腹腔镜的位于脐部右侧的12毫米端口。因此，获得的右上腹腔中的手术视野非常好。腹腔镜辅助下右肝叶的动员是通过穿过中线切口的一只手完成的，包括解剖肝肾韧带，右三角韧带和右冠状韧带。然后使用Cavitron超声外科手术吸气器（CUSA）进行实质性解剖，将切除的标本通过中线切口，而不会割碎肝脏。该过程可以最大程度地减少伤口的长度，同时避免与气腹相关的致命并发症。

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