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随着现代肝脏外科的发展,肝移植、半肝切除及肝段切除等手术已经成为临床治疗肝脏疾病的重要手段,随之而来的是传统Couinaud肝段划分方法不足的逐渐凸显。虽然有各种影像学定位手段辅助进行肝段定位,但有学者认为实际手术过程中,仅靠肝脏表面的解剖学标志并没有为肝切除带来实质的进展[1],联合应用术中超声以及Pringle法等血管阻断技术,虽然可以实现解剖性肝段切除,但该技术对肝脏解剖及术中超声技术要求极高,在合并肝硬化或部分
With the development of modern liver surgery, liver transplantation, hemihepatectomy and resection of hepatic segments have become an important means of clinical treatment of liver diseases, followed by the lack of traditional Couinaud segmentation. Although there are a variety of imaging methods to aid the positioning of liver segment positioning, but some scholars believe that the actual surgical procedure, the liver alone anatomical landmarks did not bring substantial progress for hepatic resection [1], combined with intraoperative ultrasound And Pringle France and other vascular occlusion technology, although anatomical segmentectomy can be achieved, but the technology of liver anatomy and intraoperative ultrasound technology is extremely demanding, in the merger of cirrhosis or part of