Laparoscopic Hepatectomy-腹腔镜肝切除术:图谱和技术

1 anatomy of the liver in the laparoscopic situation 1
1.1 perihepatic ligaments 2
1.2 the porta hepatis 9
1.3 hepatic veins 12
1.4 short hepatic veins 12
2 instruments for laparoscopic hepatectomy by
curettage and aspiration 15
2.1 basic equipments 15
2.2 trocars 15
2.3 instruments for liver transection 16
2.4 instruments for liver mobilization 18
2.5 instruments for dissection 18
2.6 instruments for ligation 19
2.7 instruments for tissue division 19
2.8 other instruments used in laparoscopic hepatectomy 19
references 20
3 laparoscopic left lateral segmentectomy 21
3.1 indications and contraindications 21
3.2 patient position and trocars’ position 21
3.3 laparoscopic left lateral segmentectomy 22
references 38
4 laparoscopic left hemihepatectomy 39
4.1 indications and contraindications 40
4.2 patient position and trocars’ position 40
4.3 laparoscopic left hemihepatectomy with selective left inflow occlusion and occlusion of left hepatic vein 41
4.4 laparoscopic left hemihepatectomy with selective
left inflow occlusion 64
references 87
5 laparoscopic right hemihepatectomy 89
5.1 indications and contraindications 89
5.2 patient position and trocars’ position 90
5.3 laparoscopic right hemihepatectomy with selective
right inflow occlusion 90
references 120
6 laparoscopic resection of caudate lobe 121
6.1 indications and contraindications 122
6.2 patient position and trocars’ position 123
6.3 laparoscopic isolated resection of caudate lobe 123
6.4 laparoscopic combined resection of caudate lobe:
laparoscopic left lateral segmentectomy and
resection of caudate lobe 129
6.5 laparoscopic combined resection of caudate lobe:
laparoscopic left hemihepatectomy and
resection of caudate lobe 150
references 170
7 laparoscopic non-anatomical liver resection 171
7.1 indications and contraindications 171
7.2 patient position and trocars’ position 172
7.3 laparoscopic local resection for tumors in the right
anterior section 172
7.4 laparoscopic local resection for multiple tumors in
segment ⅳ 187
7.5 laparoscopic bisegmentectomy (segments ⅵ, ⅶ) 201
references 213
8 two-stage completely laparoscopic hemihepatectomy:
completely laparoscopic alpps using round-the-liver ligation 215
8.1 indications and contraindications 217
8.2 patient position and trocars’ position 217
8.3 two-stage laparoscopic left hemihepatectomy 218
8.4 two-stage laparoscopic right hemihepatectomy 238
references 272
9 laparoscopic radical resection of gallbladder cancer 273
9.1 indications and contraindications 273
9.2 patient position and trocars’ position 274
9.3 laparoscopic radical resection of gallbladder cancer 274
references 291
10 other techniques for laparoscopic hepatectomy 293
10.1 laparoscopic liver transection with an ultrasonic dissector 293
10.2 laparoscopic liver transection with the cavitron ultrasonic
surgical aspirator (cusa) 294
10.3 laparoscopic liver resection using a bipolar vessel-sealing
device: ligasure 295
10.4 laparoscopic liver transection with linear staplers 295
10.5 laparoscopic liver transection with the habib 4× device 296
references 298
index 299