中国腹腔镜肝癌手术需要规范的几个问题

我国是世界范围内的肝癌大国，发病和死亡病例占全球一半以上，目前手术切除仍是治疗肝癌的首选方法。近年来，随着手术器械的进步和医生技术水平的提高，肝癌手术切除逐渐呈微创趋势。腹腔镜下肝癌手术因腹壁切口小、术后恢复快，其有效性和安全性已得到普遍认可。但出于肝癌手术的多变性和复杂性，腹腔镜下肝癌手术在具体临床应用上仍有许多内容需要进一步规范。腹腔镜下肝癌手术需要注意的问题包括适应证选择、流程选择、围手术期处理等。针对腹腔镜下肝癌手术，必须全面考虑患者身体状况、治疗创伤、安全性、有效性和费用等多个因素，完善腹腔镜下肝癌手术的操作规范，使手术更加安全有效，使患者获益“最大化”。

Laparoscopic surgery of liver cancer in China needs specification of a few questions

China is a large country of liver cancer in the world，with more than half of the cases of morbidity and death in the world. At present，surgical resection is still the first choice for the treatment of liver cancer. In recent years，with the progress of surgical instruments and the improvement of operational proficiency，surgical resection of liver cancer gradually shows a minimally invasive trend. Laparoscopic liver cancer surgery has been widely recognized for its effectiveness and safety because of its small abdominal incision and rapid postoperative recovery. However，due to the variability and complexity of liver cancer surgery，there are still many contents to be further standardized in the specific clinical application of laparoscopic liver cancer surgery. The problems that should be paid attention to laparoscopic liver cancer surgery include indication selection，process selection，perioperative management and so on. For laparoscopic liver cancer surgery，we must comprehensively consider many factors，such as patients' physical condition，treatment trauma，safety，effectiveness and cost，so as to complete the operating specifications of laparoscopic liver cancer surgery，make the surgery more safe and effective，and maximize the benefits of patients.