中国实用外科杂志

中国实用外科杂志 ›› 2008, Vol. 28 ›› Issue (10): 880-882.

• 论著 • 上一篇    下一篇

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   

  1. 1.云南省第一人民医院，云南昆明650032；2.第三军医大学西南医院肝胆外科,重庆400038；3.中国人民解放军总医院肝胆外科，北京100853
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-10-01 发布日期:2008-10-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2008-10-01 Published:2008-10-01

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摘要：

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20070310及20080123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。

关键词: 离体肝切除术, 自体移植, 肝肿瘤

Abstract:

Extracorporeal hepatectomy and autotransplantation of residual liver for hepatic spaceoccupying lesionsMO Yiwo*，WANG Tianchao，SUN Zhiwei,et al.*The First People’s Hospital of YunNan Province,Kunming 650032,China Corresponding author:MO Yiwo,Email:lixuanmingabc_1@sina.com AbstractObjectiveTo summarige the experience of extracorporeal hepatectomy and autotransplantation of residual liver for hepatic spaceoccupying lesions.MethodsClinical data was retrospectively studied in 2 patients with hepatic spaceoccupying lesions treated by extracorporeal hepatectomy and hepatic antotransplantation in the First pepole’s hospital of Yun Nan province from 20070310-20080123,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 spaceoccupying lesions with routine method.

Key words: extracorporeal hepatectomy, autotransplantation, tumor of liver