摘要 : The emergence of laparoscopic cholecystectomy has revolutionized the face of surgery and proved that in the appropriate circumstances the laparoscopic technique affords comparable surgical outcomes with improvements in parameters ... 展开 The emergence of laparoscopic cholecystectomy has revolutionized the face of surgery and proved that in the appropriate circumstances the laparoscopic technique affords comparable surgical outcomes with improvements in parameters such as blood loss, postoperative pain, and hospital length of stay. The first laparoscopic liver resection (LLR) was described in 1992, and since then LLRs have expanded from partial hepatectomies and wedge resections for benign peripheral lesions to left and right hepatectomies for malignant lesions, which are now being performed at large-volume tertiary care centers. Laparoscopic liver surgery technique can be divided into 3 main categories based on The Louisville Statement: pure laparoscopy, hand-assisted laparoscopy, and the hybrid technique. Pure laparoscopy involves performing the entire liver resection using only laparoscopic ports, with a small incision used for specimen extraction. Hand-assisted laparoscopy is defined as laparoscopy with the addition of a hand-port placed to facilitate the operation, and the hybrid technique refers to a procedure which is started as purely laparoscopic or hand-assisted, and the resection is performed through a smalliaparotomy incision.2 The majority of LLR reported in a 2000 case registry study were totally laparoscopic (75.1%), followed by hand-assisted (16.5%), and then the hybrid technique (2.1%). 收起