单孔腹腔镜肝脏左外叶切除术中国专家共识（2026版）

Single-incision laparoscopic left lateral hepatectomy（2026）

摘要

随着微创外科技术的发展,单孔腹腔镜肝脏左外叶切除术（SLLLH）逐渐成为治疗肝脏左外叶病变的新兴术式,具有创伤小、美容效果好等优势,但目前国内尚缺乏统一的手术规范。为促进 SLLLH 的规范化开展,中国研究型医院学会微创外科学专业委员会于2026年组织专家制定本共识,旨在提供临床操作指导。本共识基于现有临床研究及专家经验,系统阐述了 SLLLH 的定义、优势、适应证与禁忌证、术前评估、手术团队要求、体位与切口选择、手术器械、手术步骤及并发症处理等方面的内容,以期为 SLLLH 的规范实施提供循证依据与操作指导,推动 SLLLH 在我国安全、规范的开展。

Abstract

With the evolution of minimally invasive surgical techniques, single-incision laparoscopic left lateral hepatectomy （SLLLH）has emerged as a promising approach for resecting lesions in the left lateral liver lobe.This advanced technique offers poten- tial benefits including reduced surgical trauma, diminished postoperative pain, and superior cosmetic outcomes due to a concealed um- bilical incision.However, the adoption of SLLLH in China has been hindered by the absence of standardized protocols and procedural guidelines, leading to variability in practice and raising concerns about its safe and consistent application.To address this gap and pro- mote the standardized implementation of SLLLH, the Minimally Invasive Surgery Committee of the Chinese Research Hospital Associa- tion convened a panel of experts in 2026.This panel has developed the present consensus document, grounded in a thorough review of existing clinical evidence and supplemented by collective expert experience.The primary aim is to establish evidence-based clinical guidance and operational standards.The consensus systematically addresses the definition, advantages, indications and contraindications, preoperative assessment, surgical team requirements, patient positioning and incision selection, surgical instruments, procedural steps, and management of complications related to SLLLH.This expert consensus serves as a foundational guide for the standardized practice of SLLLH in China.By establishing clear protocols, it seeks to facilitate the safe, effective, and widespread adoption of this technique, ulti- mately aiming to improve surgical outcomes and patient care in the field of minimally invasive liver surgery.

关键词

肝脏左外叶切除术 / 腹腔镜检查 / 单孔 / 专家共识

Key words

Left lateral hepatectomy / Laparoscopy / Single-incision / Expert consensus