腹腔镜下解剖性左半肝切除术(肝门不阻断)

安庆一院(方剑)

<p class="ql-block">肝切除团队</p> <p class="ql-block">切除胆囊,显露肝门板结构</p> <p class="ql-block">leannec膜解剖</p> <p class="ql-block">游离左肝胆管</p> <p class="ql-block">游离左肝内侧叶动脉</p> <p class="ql-block">游离左肝外侧叶动脉</p> <p class="ql-block">游离门静脉左支</p> <p class="ql-block">保护尾状叶门静脉属支</p> <p class="ql-block">肝缺血线显示</p> <p class="ql-block">肝中静脉汇入起始部</p> <p class="ql-block">左肝胆管池(内充满结石)</p> <p class="ql-block">离断左肝管,保护尾状叶胆管</p> <p class="ql-block">肝中静脉V4b汇入点</p> <p class="ql-block">脐裂静脉</p> <p class="ql-block">左肝静脉韧带</p> <p class="ql-block">左肝静脉</p> <p class="ql-block">离断左肝静脉</p> <p class="ql-block">左肝静脉切缘</p> <p class="ql-block">左肝切除后肝断面</p> <p class="ql-block">左肝管断端连续缝合</p> <p class="ql-block">胆总管T管置入</p> <p class="ql-block">左半肝切除游离</p> <p class="ql-block">破碎后取出</p>