2013+腹腔镜+肝切除+专家共识+操作指南.docxVIP

生堡趟丝处叠苤查!!!!生!旦筮!!鲞筮!塑鱼!也』旦选坠垡：丛!竺!!!!!：!!!：!!：盟!：!·指南与共识·腹腔镜肝切除专家共识与手术操作指南(2013版)中华医学会外科学分会肝脏外科学组【摘要】微创是当今外科学发展的潮流。腹腔镜手术具有局部创伤小，患者全身反应轻、术后恢复快等优势。为推进我国腹腔镜肝切除术的开展，中华医学会外科学分会肝脏外科学组组织全国60位肝脏外科专家，共同讨论形成了《腹腔镜肝切除专家共识与手术操作指南(2013版)》。其中，专家共识部分包括腹腔镜肝切除术的类型、手术方式、手术适应证和禁忌证、术前准备与麻醉方式、手术设备与器械，体位、气腹压力、操作孔位置，术中入肝及出肝血流的处理，中转开腹手术的指征。手术操作指南包括腹腔镜肝切除技术及肝脏断面处理和各种腹腔镜肝切除术式。【关键词】肝切除术；腹腔镜检查；共识；指南Expert consensus on laparoscopic hepatectomy and guide-line for operative procedure(2013 edition)The Hepatic Surgery Group of Chinese Medical AssociationCorresponding author：CHEN Xiao-ping，Department of Surgery， Tongfi Hospital，Tongfi Medical School，Huazhong University ofTechnology and Science，Wuhan 430030，China，Email：chenxp @medmail．corn．cn【Abstract】 Minimally invasive surgery is the develop-ment trend of surgery．Laparoscopic surgery has advantages of small trauma，slight systemic reaction and quick postoperative recovery of patients．In order to promote the development of taparoscopic hepatectomy in China，the Hepatic Surgery Group of Chinese Medical Association composed the Expert consensusOillaparoscopic hepatectomy and guideline for operative procedure(2013 edition)based on a thorough discussion of 60 experts in the field of hepatic surgery．In the“Expert consensus”part，the types of laparoscopic hepatectomy，surgical methods，surgical indications and contraindications，preoperative preparation， anesthesia methods，surgical equipments and instruments，oper— ative posture，pneumoperitoneum pressure，trocars position， control of hepatic outflow and inflow，indications for conversion to open surgery were introduced．In the“guideline”part．tech— niques and procedures of various laparoseopic hepatectomieswereconcluded．【Key words】Hepatectomy；Laparoscopy；Consensus；GUidPliBeDOI：10．3760／cma．j．issn．1673-9752．2013．03．001基金项目：卫生部部属(管)医院l临床学科重点项目(N0439-51[2010])；国家十二五科技重大专项(2012ZXl0002016—004)通信作者：陈孝平，430030武汉，华中科技大学同济医学院附属同济医院外科学系，Email：chenxp@medmail．eom．en微创是当今外科学发展的潮流。腹腔镜手术具有局部创伤小，患者全身反应轻、术后恢复快等优势。自1991年美国Reich等¨o率先报