Laparoscopic hepatectomy has brought new techniques and concepts to the liver surgery.Compared with the traditional laparotomic resection, the approaches of laparoscopic hepatectomy are quite different and have advantages.In this article, the characteristics, selection and application of various laparoscopic hepatectomy approaches are summarized and described.Different surgical strategies lead to different approaches, and the choice of each approach is not fixed and independent.The safety and effectiveness of laparoscopic hepatectomy can be guaranteed to the greatest extent by reasonable selection and combination of various approaches.
腹腔镜肝切除为肝切除研究领域带来了新的技术和理念。相对于传统开腹术式的固有视角和入路，腹腔镜肝切除的入路设计与之存在很大差异，并具有自身优势。本文着重归纳叙述各种腹腔镜肝切除入路的特点、选择和应用，结合目前具有代表意义的主流术式加以阐述。不同的手术策略造就了不同的入路方式，各种入路的选择并非固定和独立存在。对各种入路方法进行合理的选择和组合，利用优势，规避劣势，方能最大限度保障腹腔镜肝切除术式的安全性和有效性。.
Keywords: Hepatectomy; Laparoscopic; Liver neoplasms; Surgical approach.