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far the largest number of respondents (n = 223), followed by Brousse Hospital, Villejuif,
the US (n = 38) and France (n = 20). In Japan, the majority France
University School of Medicine,
Japan (4–6 October 2014). The International Survey on
35
Technical Aspects of Laparoscopic Liver resection was
Shinanomachi, Shinjuku-ku,
Pittsburgh, PA, USA
centers. LLR has undergone global dissemination after the
G. Wakabayashi
first international consensus conference in 2008. Japan has
Department of Surgery, Iwate
.
6
腹腔镜肝切除的发展
美国匹兹堡大学UPMC
.
7
腹腔镜肝切除的发展
美国匹兹堡大学UPMC
.
8
腹腔镜肝切除的发展Fra bibliotekJ Hepatobiliary Pancreat Sci (2014)
The technique of laparoscopic liver resection
(LLR) has been greatly improved since the first international T. Hibi (*) ·O. Itano ·Y.
consensus conference. Our aim was to evaluate the worldwide Kitagawa
spread of LLR prior to the 2nd International Consensus
Department of Surgery, Keio
Conference on Laparoscopic Liver Resection in Iwate,
taizohibi@z3.keio.jp
surgeons responded to the survey. The peak age range of
D. Cherqui
surgeons performing LLR was 41–50 years. Japan had by
Hepatobiliary Center, Paul
.
3
腹腔镜肝切除的发展
第一阶段 起步摸索期（1991—2003）
第二阶段 交流发展期（2004—2006）
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
4
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
腹腔镜肝切除术的研究进展 Research progress of
laparoscopic liver resection
海军安庆医院普外科 李向国
.
1
亨利·泰勒博士故居
SINCE 1901
.
2
主要内容
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
designed to assess dissemination of LLR, indications, and
Tokyo 160-8582, Japan
the surgical techniques. The anonymous questionnaire was
e-mail address:
e-mailed to liver surgeons worldwide. A total of 448 liver
experienced unparalleled, explosive diffusion characterized
Medical University School of
.
5
国际腹腔镜肝切除共识会议 International Consensus Conference on LLR (ICCLLR)
1st
2008年, America Louisville宣言, Ann Surg. 2009;250:825–830.
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;261:619–629.
of surgeons performing LLR belonged to community hospitals, D. A. Geller
where LLR has been increasingly used since its implementation Liver Cancer Center,
in 2009 or later, comprising up to 40% of all
University of Pittsburgh
liver resection cases. In contrast, in North America and
Medical Center,
Europe, LLR was mostly performed at academic medical
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）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
