Hepatoblastoma is the most common type of malignant liver tumor in children and occurs most frequently in patients two years of age and younger. The outcomes for children with hepatoblastoma have been improving in rec...Hepatoblastoma is the most common type of malignant liver tumor in children and occurs most frequently in patients two years of age and younger. The outcomes for children with hepatoblastoma have been improving in recent years due to the introduction of cisplatin-based chemotherapy regimens. Recently, performing liver transplantation after neoadjuvant chemotherapy has become increasingly advocated as a primary surgical treatment for children with unresectable hepatoblastoma involving three or four sectors of the liver. Surgical exploration is frequently required to determine which tumors are resectable, which require liver transplantation and timing of resection. When the quality of the remnant liver is in question, the decision for transplantation versus resection should be made by a liver team in experienced center with capability of liver transplantation. This report presents the findings of the patient with hepatoblastoma who successfully underwent extreme resection with a backup for living donor liver transplantation. The patient was discharged home in good condition and the follow-up continued for three years with normal AFP levels observed.展开更多
This Portal venous gas (PVG) is usually associated with intra-abdominal catastrophe. However, there are some reports regarding benign causes of PVG, including the cases related to organ transplantation. We present 3 c...This Portal venous gas (PVG) is usually associated with intra-abdominal catastrophe. However, there are some reports regarding benign causes of PVG, including the cases related to organ transplantation. We present 3 cases with PVG undergoing living donor liver transplantation (LDLT). All cases simultaneously demonstrated intra-abdominal complications and revealed a bacterial blood culture. We successfully managed all cases with immediate intervention for the possible occurrence of bacterial translocation. Our experience indicates that the detection of PVG by USG is an alarming finding, as a possible early sign of bacterial translocation after liver transplantation. When PVG is detected by USG, it is important to pay prompt attention to bacterial translocation.展开更多
文摘Hepatoblastoma is the most common type of malignant liver tumor in children and occurs most frequently in patients two years of age and younger. The outcomes for children with hepatoblastoma have been improving in recent years due to the introduction of cisplatin-based chemotherapy regimens. Recently, performing liver transplantation after neoadjuvant chemotherapy has become increasingly advocated as a primary surgical treatment for children with unresectable hepatoblastoma involving three or four sectors of the liver. Surgical exploration is frequently required to determine which tumors are resectable, which require liver transplantation and timing of resection. When the quality of the remnant liver is in question, the decision for transplantation versus resection should be made by a liver team in experienced center with capability of liver transplantation. This report presents the findings of the patient with hepatoblastoma who successfully underwent extreme resection with a backup for living donor liver transplantation. The patient was discharged home in good condition and the follow-up continued for three years with normal AFP levels observed.
文摘This Portal venous gas (PVG) is usually associated with intra-abdominal catastrophe. However, there are some reports regarding benign causes of PVG, including the cases related to organ transplantation. We present 3 cases with PVG undergoing living donor liver transplantation (LDLT). All cases simultaneously demonstrated intra-abdominal complications and revealed a bacterial blood culture. We successfully managed all cases with immediate intervention for the possible occurrence of bacterial translocation. Our experience indicates that the detection of PVG by USG is an alarming finding, as a possible early sign of bacterial translocation after liver transplantation. When PVG is detected by USG, it is important to pay prompt attention to bacterial translocation.
