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离体肝肿瘤切除余肝自体移植术治疗肝占位性疾病
莫一我1,王天朝1, 孙志为1,金焰1,王彦坤1,朱秀芳1,董坤1,杨占宇2,董家鸿3
中国实用外科杂志 ›› 2008, Vol. 28 ›› Issue (10) : 880-882.
PDF(434 KB)
PDF(434 KB)
离体肝肿瘤切除余肝自体移植术治疗肝占位性疾病
目的总结离体肝切除、余肝自体移植术治疗肝占位性病变的体会。方法回顾性分析云南省第一人民医院20070310及20080123收治的2例接受离体肝切除、余肝自体移植病人的临床资料。其中肝脏巨大血管瘤1例,肝尾叶巨大错构瘤1例。结果2例病人术程顺利,术后未发现肝衰、肾衰。1例术后肝创面活动出血,术后36h后再次开腹止血。术后恢复正常。平均12d肝功能指标完全正常。术后30~45d出院。1例随访11个月,肝功能正常,CT显示无新发血管瘤,生活质量高;1例术后1个月,肝功能完全正常,CT显示肝脏无异常。结论离体肝脏肿瘤切除、余肝自体移植术是治疗常规手术无法切除的肝占位性病变的一种有效方法。
Extracorporeal hepatectomy and autotransplantation of residual liver for hepatic spaceoccupying lesionsMO Yiwo*,WANG Tianchao,SUN Zhiwei,et al.*The First People’s Hospital of YunNan Province,Kunming 650032,China Corresponding author:MO Yiwo,Email:lixuanmingabc_1@sina.com AbstractObjectiveTo summarige the experience of extracorporeal hepatectomy and autotransplantation of residual liver for hepatic spaceoccupying lesions.MethodsClinical data was retrospectively studied in 2 patients with hepatic spaceoccupying lesions treated by extracorporeal hepatectomy and hepatic antotransplantation in the First pepole’s hospital of Yun Nan province from 20070310-20080123,including 1 of angeioma and 1 of major hamartomas.ResultsTwo patients underwent the operation successfully without severe complications such as hepatic failure,renal failure.One patient was performed operation for active hemorrhea after operation 36h.The liver function tests showed normal results within 12 days after operation and the patients were discharged at 30~45days post operatively. One patient has survived for 11 months and the liver function was normal without new angeioma.Another patient was discharged with the normal liver function without any abnormal sign of imaging.ConclusionExtracorporeal hepatectomy and autotransplantation of residual liver is an effective approach for unresectable hepatic spaceoccupying lesions with routine method.
extracorporeal hepatectomy / autotransplantation / tumor of liver
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