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离体肝切除联合剩余肝脏自体移植治疗巨块型肝癌临床探讨

One Case Analysis of Ex-vivo Liver Resection Combined with Partial Liver Autotransplantation for Hepatocellular Carcinoma
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摘要 目的总结离体肝切除联合剩余肝脏自体移植术治疗巨块型肝癌的临床经验并探讨其优点.方法回顾性分析昆明医科大学第二附属医院肝胆外科2011年10月收治的1例巨块型肝癌患者的临床资料.结果该例患者手术过程顺利,术后未发生肝衰、肾衰、肝性脑病等情况,术后20 d肝功能完全恢复正常,术后22 d出院.术后半年随访未复发肿瘤,肝功能正常.结论离体肝切除联合剩余肝脏自体移植术可以有效治疗一些常规方法无法切除的肝脏占位性病变. Objective To discuss the experience of ex-vivo liver resection combined with partial liver autotransplantation for hepatocellular carcinoma.Method Clinical data were retrospectively studied in 1 patient with massive hepatocellular carcinoma treated by ex-vivo liver resection combined with partial liver autotransplantation in the Second Affiliatted Hospital of Kunming Medical University on October,2011.Results The patient underwent the operation successfully without severe complications such as hepatic failure,renal fail and hepatic encephalopathy.The liver function tests showed normal results with in 20 days after operation and the patient was discharged on the 22nd day postoperation.The patient had survived for 6 months and the liver function was normal without new neoplasms,and liver function without any abnormal sign of imaging.Conclusion Ex-vivo liver resection combined with partial liver autotransplantation can treat patients with unresectable hepatic space-occupying lesions with routine method efficiently.
出处 《昆明医科大学学报》 CAS 2012年第10期42-44,48,共4页 Journal of Kunming Medical University
基金 国家自然科学基金资助项目(81060204) 云南省中青年学术基金资助项目(2008PYD18)
关键词 离体肝切除 肝移植 自体 肝肿瘤 Ex-vivo liver resection Liver transplantation Autologous Liver neoplasms
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参考文献6

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