课件-腹腔镜肝切除术
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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
J Hepatobiliary Pancreat Sci (2014)
The technique of laparoscopic liver resection
(LLR) has been greatly improved since the first
surgeons performing LLR was 41–50 years. Japan had by France
far the largest number of respondents (n = 223), followed D. A. Geller
by
Liver Cancer Center,
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
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
hospitals,
G. Wakabayashi
where LLR has been increasingly used since its
Department of Surgery,
implementation
Iwate Medical University
in 2009 or later, comprising up to 40% of all liver resection cases. In contrast, in North America and
Technical Aspects of Laparoscopic Liver resection was
e-mail address:
designed to assess dissemination of LLR, indications, and taizohibi@z3.keio.jp
the surgical techniques. The anonymous questionnaire was D. Cherqui
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
theLeabharlann BaiduUS (n = 38) and France (n = 20). In Japan, the
University of Pittsburgh
majority
Medical Center,
of surgeons performing LLR belonged to community
Pittsburgh, PA, USA
e-mailed to liver surgeons worldwide. A total of 448 liver Hepatobiliary Center, Paul
surgeons responded to the survey. The peak age range of Brousse Hospital, Villejuif,
T. Hibi (*) ·O. Itano ·Y.
international
Kitagawa
consensus conference. Our aim was to evaluate the
Department of Surgery,
worldwide
Keio University School of
spread of LLR prior to the 2nd International Consensus Medicine, 35
Conference on Laparoscopic Liver Resection in Iwate,
Shinanomachi, Shinjuku-ku,
Japan (4–6 October 2014). The International Survey on Tokyo 160-8582, Japan
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.
课件-腹腔镜肝切除术
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
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）
School of Medicine, Iwate, Japan9
Europe, LLR was mostly performed at academic medical
Hepato-Pancreato-Biliary Association 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
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
J Hepatobiliary Pancreat Sci (2014)
The technique of laparoscopic liver resection
(LLR) has been greatly improved since the first
surgeons performing LLR was 41–50 years. Japan had by France
far the largest number of respondents (n = 223), followed D. A. Geller
by
Liver Cancer Center,
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
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
hospitals,
G. Wakabayashi
where LLR has been increasingly used since its
Department of Surgery,
implementation
Iwate Medical University
in 2009 or later, comprising up to 40% of all liver resection cases. In contrast, in North America and
Technical Aspects of Laparoscopic Liver resection was
e-mail address:
designed to assess dissemination of LLR, indications, and taizohibi@z3.keio.jp
the surgical techniques. The anonymous questionnaire was D. Cherqui
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
theLeabharlann BaiduUS (n = 38) and France (n = 20). In Japan, the
University of Pittsburgh
majority
Medical Center,
of surgeons performing LLR belonged to community
Pittsburgh, PA, USA
e-mailed to liver surgeons worldwide. A total of 448 liver Hepatobiliary Center, Paul
surgeons responded to the survey. The peak age range of Brousse Hospital, Villejuif,
T. Hibi (*) ·O. Itano ·Y.
international
Kitagawa
consensus conference. Our aim was to evaluate the
Department of Surgery,
worldwide
Keio University School of
spread of LLR prior to the 2nd International Consensus Medicine, 35
Conference on Laparoscopic Liver Resection in Iwate,
Shinanomachi, Shinjuku-ku,
Japan (4–6 October 2014). The International Survey on Tokyo 160-8582, Japan
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.
课件-腹腔镜肝切除术
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
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）
School of Medicine, Iwate, Japan9
Europe, LLR was mostly performed at academic medical
Hepato-Pancreato-Biliary Association 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