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1991年Reich等首次报道2例腹腔镜肝切除术(laparo-scopic hepatectomy,LH),开创了LH的先河。自此,LH从治疗肝脏良性疾病发展到恶性肿瘤,从局部切除发展到半肝或多段切除。由于肝脏血运丰富,术中出血多,止血效果不理想,以及对腹腔镜下切除肝癌能否达到根治要求和瘤细胞的播散等问题存有顾虑,一定程度上制约了LH的开展与普及。所以,目前LH的开展仍然处于探索阶段。
In 1991, Reich et al. First reported 2 cases of laparo-scopic hepatectomy (LH), which pioneered the development of LH. Since then, LH has progressed from the treatment of benign liver diseases to malignant tumors, from partial excision to hemiliveromyctomy. Due to the rich blood supply of the liver, intraoperative bleeding, bleeding is not satisfactory, as well as laparoscopic resection of liver cancer can meet the radical requirements and dissemination of tumor cells and other concerns, to a certain extent, restricted the development and popularization of LH . Therefore, the current LH is still in the exploratory stage.