肝脏动态流域学说与恶性肿瘤靶域切除技术

刘荣; 王子政; 王兆海; 汪洋; 赵国栋

doi:10.3969/j.issn.2095-5227.2023.01.001

肝脏动态流域学说与恶性肿瘤靶域切除技术

doi: 10.3969/j.issn.2095-5227.2023.01.001

1.
解放军总医院第一医学中心肝胆胰外科医学部，北京　100853
2.
解放军总医院第五医学中心肝病医学部，北京　100039

详细信息

作者简介:
刘荣，主任医师，教授，博士生导师。现任解放军总医院肝胆胰外科医学部主任。在肝胆胰脾外科临床及科研一线工作30余年，致力于肝胆胰肿瘤腹腔镜/机器人微创手术治疗，以及人工智能与微创外科的交叉研究，创建了完整的肝胆胰脾外科腹腔镜技术体系和机器人技术体系。以第一完成人获国家科技进步二等奖、中华医学科技一等奖等奖励。任中国研究型医院学会智能医学专业委员会主任委员、中国研究型医院学会微创外科学专业委员会常务副主任委员兼秘书长、国际临床机器人外科学会执行委员、《中华腔镜外科杂志》(电子版)总编辑、Intelligent Surgery (《智能外科英文版》)杂志总编辑等职务

通讯作者:
刘荣，男，博士，主任医师，解放军总医院肝胆胰外科医学部主任。研究方向：肝胆胰外科疾病治疗。Email: liurong301@126.com

中图分类号: R735.7
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- 被引次数: 0
出版历程
- 收稿日期: 2022-10-14
- 网络出版日期: 2023-01-20
- 刊出日期: 2023-01-28

Liver dynamic watershed theory and target-territory resection techniques

1.
Faculty of Hepatopancreatobiliary Surgery, the First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
2.
Senior Department of Hepatology, the Fifth Medical Center, Chinese PLA General Hospital, Beijing 100039, China

More Information

Corresponding author: LIU Rong, Email: liurong301@126.com

摘要

摘要: 传统肝脏分段解剖方法是目前肝脏恶性肿瘤切除技术的理论基础。随着对肝脏解剖学理解的加深，肝脏动态流域学说的提出将肝脏解剖方法从传统的静态树干型向动态流域型转变。在肝脏动态流域学说指导下，笔者提出肝脏恶性肿瘤靶域切除技术，该技术有别于解剖性或非解剖性肝切除，不强调按照人为设定的肝段解剖进行切除，而是以病灶和可能存在浸润和转移流域为导向，结合肝脏恶性肿瘤的生物学特性，决定手术切除靶域。
- 肝脏恶性肿瘤 /
- 肝切除术 /
- 肝脏解剖 /
- 肝脏动态流域学说 /
- 恶性肿瘤靶域切除技术
Abstract: The conventional liver anatomy is the theoretical basis of the current techniques for resection of liver malignant neoplasms. With the deepening understanding of liver anatomy, the proposal of liver dynamic watershed theory has transformed the liver anatomy method from the traditional static trunk type to the dynamic watershed type. Under the guidance of dynamic liver blood watershed theory, the author proposes the target-territory resection techniques for liver malignant neoplasms, which is different from anatomical or non-anatomical liver resection and does not emphasize the resection according to the artificially preset liver segments. Instead, it takes the lesion and possible infiltration and metastasis watershed as the guide to determine the target-territory for resection by combining the biological characteristics of liver malignant neoplasms.
- liver malignant neoplasms /
- hepatectomy /
- liver anatomy /
- liver dynamic watershed theory /
- target-territory resection techniques for malignant tumors

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