Laparoscopic liver resection used to be considered as a “forbidden area” due to the special anatomical characteristics of the liver. In recent years, with the improvement of laparoscopic techniques and equipment, laparoscopic liver resection has made great progress, but laparoscopic liver surgery is still considered to be one of the most difficult laparoscopic procedures, and not many hospitals in China are able to perform such procedures. The liver has a large anatomical variation, a double blood supply of hepatic artery and portal vein, and abnormal rich blood flow, which makes it very easy to bleed during resection, and it is not easy to control intraoperatively, so some parts of laparoscopic liver resection are difficult to expose and difficult to operate. Intraoperative bleeding and CO2 gas embolism are the key to laparoscopic liver surgery. Bleeding is always the main cause of surgical transit and failure of laparoscopic liver resection, especially outside the liver where severing the hepatic vein is very dangerous and can cause death of the patient in a short time if not handled properly. Therefore, laparoscopic liver surgery requires the surgeon to be very familiar with the anatomy of the liver and to have rich experience in open liver surgery and laparoscopic surgical techniques before this technique can be carried out. On this basis, laparoscopic liver resection is safe and feasible, and it is less traumatic, faster recovery and less complications, which has been recognized by more and more people and has become the main trend in the development of liver surgery. Recently, Dr. Youli Wang, deputy chief physician of Department of Surgery 3, received a patient with hemangioma of the left outer lobe of liver from the outpatient clinic, and after admission, with the support of Shuqiang Lu, chief of department, the whole department conducted a detailed preoperative discussion on the case, established the treatment idea of laparoscopic resection of the left outer lobe of liver, and established a detailed operation plan and contingency plan for possible accidents during the operation. On July 29, 2010, under the guidance of Dr. Lu Shuqiang, Dr. Wang Youli, the deputy chief physician, cooperated with Dr. Lu Shuqiang and Dr. Cai Aibing, and successfully completed the surgery in nearly 3 hours, and the patient recovered smoothly after the surgery. The successful development of this technology marks that our hospital has already had considerable strength in laparoscopic surgery and has accumulated experience in the minimally invasive process of abdominal surgery in our hospital in terms of high-risk and high-risk surgeries. The new facility has opened a wider door for laparoscopic surgery in our hospital. This is a milestone leap in the introduction of laparoscopic technology from the abdominal cavity to the more risky, difficult and technically sophisticated parenchymal organs after the successful laparoscopic resection of giant spleen with cirrhosis. The successful implementation of this technology in our hospital accelerated the process of minimally invasive hepatobiliary and gastrointestinal surgery and laid the technical foundation for the introduction of laparoscopy into the field of liver and gastrointestinal surgery in our hospital, thus establishing minimally invasive as the brand development direction,
It has laid the technical foundation for the introduction of laparoscopy into the field of liver and gastrointestinal surgery and thus established the brand development direction of minimally invasive surgery.