体外肝切除联合余肝自体移植治疗肝泡型包虫病术后小肝综合征1例报告

叶海雯; 周瀛; 卢倩; 张灵强; 邓勇; 许晓磊; 李小雯; 贾凡; 王海久; 樊海宁

doi:10.3969/j.issn.1001-5256.2019.04.030

体外肝切除联合余肝自体移植治疗肝泡型包虫病术后小肝综合征1例报告

DOI: 10.3969/j.issn.1001-5256.2019.04.030

1. 青海大学附属医院肝胆胰外科
2. 青海省包虫病研究重点实验室
3. 北京清华长庚医院

基金项目:

青海省包虫病临床医学研究中心项目(2017-SF-L2)；

详细信息

中图分类号: R657.3;R532.32
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出版历程
- 出版日期: 2019-04-20

Small-for-size syndrome in hepatic alveolar echinococcosis treated by ex vivo liver resection and autotransplantation: A case report

Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University

Research funding:

摘要

摘要:
<正>1病例资料患者男性,56岁,藏族。因"发现肝包虫病18年,间断腹胀1年"于2017年3月23日就诊于青海大学附属医院。入院查体无明显阳性体征。既往长期居住于青海牧区,诊断"包虫病"后持续口服"阿苯达唑"治疗,逐年复查显示病灶逐渐增大。腹部CT(图1)提示肝右叶直径约17. 2 cm×17. 8 cm高低混杂密度灶,与周围组织分界不清,增强后边缘强化,肝右静脉、肝中
- 肝移植 /
- 移植,自体 /
- 棘球蚴病,肝 /
- 病例报告
- liver transplantation /
- transplantation, autologous /
- echinococcosis, hepatic /
- case reports

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参考文献(7)

[1]DEPLAZES P, RINALDI L, ALVAREZ ROJAS CA, et al. Global distribution of alveolar and cystic echinococcosis[J]. Adv Parasitol, 2017, 95:315-493.

[2]BRUNETTI E, KERN P, VUITTON DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans[J]. Acta Tropica, 2010, 114 (1) :1-16.

[3]LI YM, REN ZJ. Progress in the diagnosis and treatment of hepatic echinococcosis[J]. Chin J Dig Surg, 2018, 17 (12) :1141-1145. (in Chinese) 李玉民, 任志俭.肝包虫病的诊断与治疗进展[J].中华消化外科杂志, 2018, 17 (12) :1141-1145.

[4]PICHLMAYR R, GROSSE H, HAUSS J, et al. Technique and preliminary results of extracorporeal liver surgery (bench procedure) and of surgery on the in situ perfused liver[J]. Br J Surg, 1990, 77 (1) :21-26.

[5]WEN H, DONG JH, ZHANG JH, et al. Ex vivo liver resection followed by autotransplantation for end-stage hepatic alveolar echinococcosis[J]. Chin Med J (Engl) , 2011, 124 (18) :2813-2817.

[6]AJI T, DONG JH, SHAO YM, et al. Ex vivo liver resection and autotransplantation as alternative to allotransplantation for end-stage hepatic alveolar echinococcosis[J]. J Hepatol, 2018, 69 (5) :1037-1046.

[7]Chinese Society of Organ Transplantation, Chinese Medical Association; Organ Transplantation Branch, Chinese Medical Doctor Association. Chinese guidelines for clinical diagnosis and treatment of small-for-size syndrome after living donor liver transplantation (2016) [J]. J Clin Hepatol, 2017, 33 (10) :1870-1875. (in Chinese) 中华医学会器官移植学分会, 中国医师协会器官移植医师分会.中国活体肝移植小肝综合征临床诊治指南 (2016版) [J].临床肝胆病杂志, 2017, 33 (10) :1870-1875.

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