Process of indocyanine green fluorescence-guided laparoscopic anatomical liver VI resection
Chinese Journal of Hepatobiliary Surgery(2019)
Abstract
IVb段是肝脏Couinaud分段的左内叶下段,有比较明确的分界标志。但在实际工作中,IVb段的实际分界和体表标志仍有出入。因此,作者建议在手术过程中,按照解剖性肝切除的原则,优先处理肝蒂,在出现缺血线后再沿缺血线断肝。本文介绍了一例肝细胞肝癌患者腹腔镜肝脏IVb段切除手术流程。患者术后病理:II级中分化癌,5 cm×5 cm×4 cm。周围肝组织呈结节性肝硬化表现。术后随访2个月,未见肿瘤复发及转移。
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Key words
liver,fluorescence-guided
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