,Robotic Iiver surgery: technicaI aspects and review of the Iiterature

来源 :肝胆外科与营养 | 被引量 : 0次 | 上传用户:duzhanghuaduzhanghua
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Minimally invasive surgery for liver resections has a defined role and represents an accepted alteative to open techniques for selected cases. Robotic technology can overcome some of the disadvantages of the laparoscopic technique, mainly in the most complex cases. Precise dissection and microsuturing is possible, even in narrow operative fields, allowing for a better dissection of the hepatic hilum, fine lymphadenectomy, and biliary reconstruction even with small bile ducts and easier bleeding control. This technique has the potential to allow for a greater number of major resections and difficult segmentectomies to be performed in a minimally invasive fashion. The implementation of near-infrared fluorescence with indocyanine green (ICG) also allows for a more accurate recognition of vascular and biliary anatomy. The perspectives of this kind of virtually implemented imaging are very promising and may be reflected in better outcomes. The overall data present in current literature suggests that robotic liver resections are at least comparable to both open and laparoscopic surgery in terms of perioperative and postoperative outcomes. This article provides technical details of robotic liver resections and a review of the current literature.
其他文献
Hepatocellular carcinoma (HCC) is the second leading cause of cancer-related death worldwide, and it is well accepted that the poor outcome of HCC patients amon
期刊
目的 了解三趾跳鼠是否感染鼠疫情况.方法 采用解剖、细菌培养、镜检、间接血凝试验.结果 捕获7只三趾跳鼠均为阴性.结论 在黄鼠、小型鼠等生境活动范围中三趾跳鼠往来其各个
目的:探究个性护理在甘露醇治疗偏头痛急性发作期的临床应用价值.方法:将我院神经内科于2019年1月-2020年1月收治的偏头痛急性发作患者共计200例作为本次的研究对象,采用电脑
“问渠那得清如许,为有源头活水来.”作文是学生用书面形式进行表达自己感情的一种语言活动,具有高度的综合性与创造性,因此,学生写作素材积累得如何、质量如何和能不能够很
2017级是新教学改革的第一级,高中生不再分文理科,学生选科走班.教师要顺应语文教学发展要求,培养学生自主创新、自主发展的能力,完成新时代语文教学使命.本文从人文主义精神
目的建立石墨炉原子吸收光谱法(GFAAS)测定生猪肉中微量铅、镉。方法采用湿式消解法对样品进行处理;以磷酸二氢铵作为基体改进剂,优化基体改进剂的选择、用量及原子化温度,并
目的 了解驻京某部服务从业人员HBsAg阳性检出率情况,为更好地对服务经营单位进行有效的卫生监督和指导提供切实可行的依据.方法 采集受检者925份血样2mL分离血清,用酶联免疫
新课改对小学低年级语文写作教学提出了更高的要求,教师应创新教学策略,借助生活化教学案例的渗透让学生将所学的理论知识与实践进行融合贯通,全方位提升学生的写作素养.本文
目的 了解我县城区常见蝇类携带病原菌及其耐药状况.方法 采用诱蝇笼诱捕法诱捕苍蝇,对常见 蝇类携带大肠菌群、细菌菌落数和病原菌及其耐药状况进行检测.结果 6月蝇密度最高
写作教学指的是教师对学生的写作素材和思路进行指导之后来完成书面表达任务的一种教学形式.在初中阶段,很多学生对作文有抵触心理,不利于写作教学的开展.在进行写作教学时,