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近年来，腹腔镜肝脏切除手术发展迅速，但是这种手术方式也对外科医生提出了新的挑战。利用术中实时影像学引导技术可以有效解决腹腔镜手术方式的弊端。腹腔镜超声可以用来发现和诊断病灶性质、标记重要管道结构，确定切缘，引导穿刺。ICG荧光显像可应用于术中病灶的识别、定位、定性、特定肝段的标记以及术后胆漏的预防等方面。这两种技术是目前腹腔镜肝切除术中仅有的两项实时成像影像学引导技术，真正弥补了腹腔镜肝脏手术不能进行触诊、探查显露受限等缺点。“,”In recent years, laparoscopic hepatectomy has developed rapidly, but new challenges are posed to surgeons because of this surgical approach. The disadvantages of laparoscopic surgery can be effectively solved by using intraoperative real-time imaging guidance technology. Laparoscopic ultrasound can be used to discover and diagnose the nature of lesions, mark the important pipeline structure, determine the cutting edge, and guide puncture. ICG fluorescence imaging can be applied to the identification, localization, characterization of intraoperative lesions, the marking of specific liver segments and the prevention of postoperative bile leakage. These two technologies are the only two real-time imaging guidance technologies in laparoscopic hepatectomy at present, which truly make up for the shortcomings of laparoscopic liver surgery such as the inability to palpate and limited exploration exposure.