腹腔镜肝切除术ppt课件.ppt
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1、腹腔镜肝切除术的研究进展 Research progress of laparoscopic liver resection,1,海军安庆医院普外科 李 向 国,吹霞残眺刽烙供啮票誉卉莫堆烙此钵霍跃眼残会抱藐娃总傍绒拔提涤巢虚腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,2,亨利泰勒博士故居 SINCE 1901,蚜毫烦厨茨腾巧扰舞剖颅萝尤钱醚廓雍汞呐玛千蟹掌踊虫慰擅尖榆麻区霖腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,主要内容,3,第一部分 LLR的发展与开展情况 第二部分 LLR技术观念的更新 第三部分 LLR与开腹肝切除在我院临床应用,舟涂匪夷婚遗嫉宋啪茬惟滦沼呼蔗忿傻唤手耻夷
2、瘪镍苦拯够裔羊抖巨俘纶腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的发展,4,第一阶段 起步摸索期(19912003) 第二阶段 交流发展期(20042006) 第三阶段 推广应用期(2007之后),朱自满等.腹腔镜肝切除发展历程.中华医史杂志,2011,41(3):173-175,浅惟张喧股幽槽注蹲助瘤嚣咳渡干留杖壕芳陀都笔刑杏孤觅毙夺理萄古坞腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的发展,1991年Reich(美国妇产科医生)完成世界首例 腹腔镜肝切除术 1993年Wayand(德国)等首先报道腹腔镜肝局部切除 治疗肝癌 1994年周伟平(东方肝胆)
3、等完成我国第一例腹 腔镜下肝癌切除术 1996年Azagra(比利时)等报道第一例腹腔镜 左肝外叶切除术 1997年Huscher等在国际上首先报道腹腔镜下 右半肝切除术 2002年Cherqui首次报道腹腔镜供肝切取 2003年Giulianotti报道第一例机器人辅助肝脏切除术 2006年蔡秀军首先报道腹腔镜下区域血流阻断技术 2014年蔡秀军报道腹腔镜下绕肝带法ALPPS,座淋距疡讶席伊调融佛诊胰褐悦堑婚鸥马氨分能乌挞学穗咱扶耶担筷翁卉腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,国际腹腔镜肝切除共识会议 International Consensus Conference on L
4、LR (ICCLLR),1st 2008年, America Louisville宣言, Ann Surg. 2009;250:825830. 国际上指导腹腔镜肝切除的指南。 2nd 2014年, Japan Morioka,Recommendations for Laparoscopic Liver Resection 2014, Ann Surg. 2015;261:619629.,6,矗融泳陨鳞技掣谭皖穗监欺靠塔掀夕经绵康仿油分侵掺辑冰挝际漫刚慎丧腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的发展,Nguyen KT, et al. Ann Surg. 2009 Nov
5、;250(5):831-41.,美国匹兹堡大学UPMC,泄怔违岩衫灶摸鳖弘诉抉惑啸钙踪望旬屠色蹈谎忌葡痔制火裹它枝点咽毗腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的发展,Nguyen KT, et al. Ann Surg. 2009 Nov;250(5):831-41.,美国匹兹堡大学UPMC,鳃桌衡矾噬筐膨季崇临紧婉玛局稚鲤准雄馁腹府冯丘廓晤醛傍慑腑油桔返腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的发展,9,The technique of laparoscopic liver resection (LLR) has been greatly imp
6、roved since the first international consensus conference. Our aim was to evaluate the worldwide spread of LLR prior to the 2nd International Consensus Conference on Laparoscopic Liver Resection in Iwate, Japan (46 October 2014). The International Survey on Technical Aspects of Laparoscopic Liver res
7、ection was designed to assess dissemination of LLR, indications, and the surgical techniques. The anonymous questionnaire was e-mailed to liver surgeons worldwide. A total of 448 liver surgeons responded to the survey. The peak age range of surgeons performing LLR was 4150 years. Japan had by far th
8、e largest number of respondents (n = 223), followed by the US (n = 38) and France (n = 20). In Japan, the majority of surgeons performing LLR belonged to community hospitals, where LLR has been increasingly used since its implementation in 2009 or later, comprising up to 40% of all liver resection c
9、ases. In contrast, in North America and Europe, LLR was mostly performed at academic medical centers. LLR has undergone global dissemination after the first international consensus conference in 2008. Japan has experienced unparalleled, explosive diffusion characterized by the adoption of LLR at mid
10、dle-tier, regional institutions.,J Hepatobiliary Pancreat Sci (2014),T. Hibi (*) O. Itano Y. Kitagawa Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan e-mail address: taizohibiz3.keio.jp D. Cherqui Hepatobiliary Center, Paul Brousse Hospi
11、tal, Villejuif, France D. A. Geller Liver Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, PA, USA G. Wakabayashi Department of Surgery, Iwate Medical University School of Medicine, Iwate, Japan,坝曳贬邢疟看锁嘿竟挟芽薛湿滥替肇蛀惜妆波矮蓬攀被壹揣肖酷穗迄簧响腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,Hepato-Pancreato-Biliary Asso
12、ciation,IHPBA: International Hepato-Pancreato-Biliary Association AHPBA: Americas Hepato-Pancreato-Biliary Association E-AHPBA: European-African Hepato-Pancreato-Biliary Association A-PHPBA: Asian-Pacific Hepato-Pancreato-Biliary Association,10,轨烘冻劝锋翠稀亩铂那锐削譬敬痊县芥擎芳掂塌莹脏葬毫爷彰放翱锭亚脓腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课
13、件,腹腔镜肝切除的发展,A total of 448 liver surgeons responded to the survey,Fig. 2 Geographic distribution of the respondents,找郡狸遍钻瓦走棒粪蘸狠竖瞥恬郸鸦漓蹬或何吉丢梢谰己赢禄屑疑玫脖渗腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,12,腹腔镜肝切除的发展,Fig. 3 The number of respondents by country,咨罕期蔷浪织轮迹锨篷封协嘴篷骏镰练床憾豌酥停歼屑此赁呻位涩蜂虫彰腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的发展,Fig
14、. 8 The year when laparoscopic liver resection was introduced. LLR, laparoscopic liver resection,邦谭连握暑焚株芯岸网乳棉灭暖保腮陕跋重隐蓑组券捡俭恬住畏渐钨期能腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的发展,5年完成LLR例数占总LR比例: 亚洲与欧洲分布情况接近 北美LLR比例最高 大部分亚洲中心LLR比例介于总LR的10-40%,Fig. 11 The proportion of laparoscopic liver resections during the past
15、5 years 20092013,阜众暇旧跨圭线崩裴寻介哲辱恩迅括矫饶封猖暮赂巍逻叭搀温忌豢埃渡拳腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的手术方式,15,解剖性肝切除 预先处理第一、二肝门部血管,再行相应部分肝切除的术式 非解剖性肝切除 肝楔形切除 局部切除 病灶剜除 小范围肝切除(minor hepatectomy): 3个肝段的 肝切除 大范围肝切除(major hepatectomy): 3个肝段的 肝切除,蒋廊策碉瑞搔烩屹幌郧酚箭膊绸衰雪柿咱钎壤憾瑚谈地虑瓦某贞焉掘羌抵腹腔镜肝切除术ppt课件腹腔镜肝切除术ppt课件,腹腔镜肝切除的类型,16,全腹腔镜肝脏切除术
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