腹腔镜超声在腹腔镜肝脏外科中的应用进展

腹腔镜超声(LUS)可弥补腹腔镜手术的缺陷,有助于提高手术的精准性。利用LUS可对肝脏恶性肿瘤进行准确地临床分期,有助于降低术后复发率和避免不必要的剖腹探查术,LUS引导的射频消融为肝癌晚期患者提供了更有价值的治疗手段。带有彩色多普勒功能的探头可精准显示肝中静脉位置及走行,以此为标准的半肝切除术更加精准,提高了手术的安全性。随着3DLUS的出现及发展,术中3D超声"实时导航"给术者提供了更多的手术相关信息。本文就LUS在肝脏外科中的临床应用和最新进展进行综述。

Application progresses of the laparoscopic ultrasound in laparoscopic hepatic surgery

Laparoscopic ultrasound (LUS) makes up for the lack of laparoscopy, contributing to enhance the accuracy and completeness. Through laparoscopic ultrasonic technique, tumor can be staged clinically, it helps to decrease the postoperative recurrence decreased and avoid unnecessary. laparotomy It also provides a valuable therapy for advanced liver carcinoma. The probe with CDFI is able to detect the shape and position of the middle hepatic vien, and a more accurate hemi-hepatectomy can be performed under the guidance. Consequently, it increases the safety of operation. Recent development of the three-dimensional LUS provides a real-time navigation technique and much more information about the operation to surgeons. The clinical application and progresses in the liver sugery of LUS was reviewed in this article.