How to restrict the development of laparoscopic liver resection of the factors that.docVIP

 PAGE \* MERGEFORMAT 15 How to restrict the development of laparoscopic liver resection of the factors that [Abstract] The liver is the body’s largest organ of the substantive, although it is the application of laparoscopic liver resection of more and more, while a number of objective and subjective factors that have hindered the popularity of this technology and development, this article on the current constraints of laparoscopic factor in the development of liver resection are reviewed. [Keywords:] Laparoscopy; liver resection; Review literature 1991, Reich et al [1] the first time, laparoscopic liver resection of superficial benign partial, to the end of 2004, worldwide, laparoscopic liver resection (laparoscopic liver resection, LLR) has reached more than 700 cases [2]. Contrast to tens of thousands of cases of laparotomy for liver resection in order to LLR as the representative of the complexity of Hepatobiliary and Pancreatic minimally invasive surgery has a great space for development, but a number of objective and subjective factors that have hindered the popularity of this technology and development. We are now restricting the development of the factors that LLR are reviewed. An indication of the relative limitations of LLR cases the choice of the current limited range of indications laparotomy is generally believed that [28] (1) lesions in the liver Couinaud Ⅱ , Ⅲ , Ⅳ a, Ⅴ , Ⅵ segment is relatively superficial location, and the inferior vena cava and the lesion area outside the liver, large blood vessels and bile ducts have a certain distance, the size will not affect the first and second subject portal anatomy and benign lesions of less than 8cm, malignant tumors less than 5cm; or in Ⅶ , Ⅷ segment liver surface near the diaphragmatic surface of liver Single small lesions; (2) liver function in Child B level and above; (3) The best non-surgical history of hepatobiliary disease; (4) children living donor liver transplantation for adult pa