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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (04): 363-368. doi: 10.3877/cma.j.issn.1674-3946.2021.04.003

Special Issue:

• Commentary • Previous Articles     Next Articles

Evolution and achievements of laparoscopic hepatocellular carcinoma in China over the past 20 years

Yufu Ye1, Wei Chen1, Xueli Bai1,()   

  1. 1. Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine; Zhejiang Provincial Clinical Research Center for the Study of Hepatobiliary & Pancreatic Diseases, Hangzhou 310006, China
  • Received:2021-04-26 Online:2021-08-17 Published:2021-09-08
  • Contact: Xueli Bai
  • Supported by:
    The Natural Science Foundation of China(81871925, 82071867); Key research and development Project of Zhejiang Province(2020C03117)

Abstract:

With progress of technique and accumulation of experience, laparoscopic liver resection (LLR) has become a standard operation. China is a country with high incidence of hepatocellular carcinoma (HCC). In the past 20 years, LLR has overcome "double barriers of concept and technique" . After exploration, development and optimization, it evolves from initial wedge resection to hemihepatectomy, extended hemihepatectomy, mesohepatectomy, followed by precise anatomical hepatectomy. With the continuous improvement of technical approaches, the standardized operation system of LLR has preliminarily taken shape. From the perspectives of surgical and oncological view, it has been proven to bring "dual advantages of minimal invasion and survival" to patients. At present, surgical techniques develop with each passing day, and systemic therapeutic drugs emerge in an endless stream. Along with new pattern and new challenge, China’s laparoscopic liver resection for HCC is striding into a new era with a brilliant future.

Key words: Carcinoma, hepatocellular, Hepatectomy, Laparoscopes, Anatomical liver resection

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