期刊文献+

体外肝切除联合自体肝移植治疗肝泡型包虫病 被引量:47

Ex-vivo liver resection combined liver autotransplantation for the treatment of hepatic alveolar echinococcosis
原文传递
导出
摘要 目前,对于常规手术无法根治的终末期肝泡型包虫病,国内外学者实施的异体肝移植已超过65例,疗效肯定.我国肝包虫病患者多为农牧民,难以承受异体肝移植的高昂费用.因此,体外肝切除+自体肝移植不失为治疗该病的一种理想选择.2010年8月22日,我们为1例巨大肝泡型包虫病患者施行体外肝切除+自体肝移植,取得较好疗效. Ex-vivo liver resection and liver autotransplantation offers a chance to cure extensive regional liver diseases which are otherwise deemed untreatable in selected cases. A 33-year-old male patient with advanced alveolar echinococcosis (AE) which invaded the right lobes and adjacent retrohepatic inferior vena cava, while the left lobes were free from lesion and had proliferated to over 1200 ml in size except for a 1 cm × 1 cm solid lesion in the segment Ⅳ. No extrahepatic metastases were found in this patient. A lesion with a size of 4300 ml and other small lesions in the right lobes were removed extracorporeally,and the retrohepatic vena cava was repaired, then the remaining AE-free left lobes (more than 700 ml in size) and the retrohepatic inferior vena cava were re-implanted in situ. A temporary end-to-end cavo-caval shunt with interposition of a blood vessel prosthesis and end-to-side portocaval shunt were established to keep the blood flow during the four-hour anhepatic phase. The patient was followed up for six months, and he had no signs of residual liver disease with good hepatic function.
出处 《中华消化外科杂志》 CAS CSCD 2011年第2期148-149,共2页 Chinese Journal of Digestive Surgery
基金 新疆科技厅重点课题资助项目(200810104) 乌鲁木齐市科技局科技攻关项目(G08231001)
关键词 肝泡型包虫病 肝移植 自体 体外肝切除 Alveolar echinococcosis Liver transplantation, autologous Ex-vivo liver resection
  • 引文网络
  • 相关文献

参考文献3

二级参考文献13

  • 1郑树森,柯庆宏,梁廷波,俞军,王伟林,沈岩.肝移植患者术后早期精神症状的观察[J].中华普通外科杂志,2004,19(8):453-455. 被引量:16
  • 2Pichlmayr R, Bretschneider HJ, Kirchner E, et al. Ex situ operation of the liver. A new possibility in liver surgery. Langenbecks Areh Chit,1988,373(2) :122 - 126.
  • 3Hannoun L, Balladur P, Delva E, et al. " Ex situ-in vivo" surgery of the liver: a new technique in liver surgery. Principles and preliminary results. Gastroenterol Clin Biol,1991,15(10) :758-761.
  • 4Gruttadauria S, Marsh JW, Bartlett DL, et al. Ex situ resection techniques and liver autotransplantation: last resource for otherwise unresectable malignancy. Dig Dis Sci ,2005,50(10) :1829 - 1835.
  • 5Oldhafer KJ, Lang H, Schlitt H J, et al. Long term experience after ex situ liver surgery. Surgery,2000,127 (5) :520 - 527.
  • 6[1]Pichlmayr R,Grosse H,Hauss J,et al.Technique and preliminary results of extracorporeal liver surgery (bench procedure) and of surgery on the in sit upper fused liver.Br J Surg,1990,77(1):21-26.
  • 7[2]Hannoun L,Balladur P,Delva E,et al."Exsitu-invivo" surgery,of the liver.Anew technique in liver surgery.Principles and preliminary results.Gastroenterol Clin Bioli,1991,15(10):758-761.
  • 8[3]Pichlmayr R,Weimann A,Oldhafer KJ,et al.Role of liver transplantation in the treatment of unresetable liver cancer.World J Surg,1995,19(6):807-813.
  • 9[4]Gruttadauria S,Marsh JW,Bartlett DL,et al.Exsit unresection techniques and liver autotransplantation:lastre source for otherwise unresectabl emalignancy.Dig Dis Sci,2005,50(10):1829-1835.
  • 10[5]Oldhafer KJ,Lang H,Schlitt HJ,et al.Long-term experience after exsitu liver surgery.Surgery,2000,127 (5):520-527.

共引文献26

同被引文献382

引证文献47

二级引证文献287

相关主题

;
使用帮助 返回顶部