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活体供体右半肝移植治疗肝泡型包虫病:附3例报告

Living donor right lobe liver transplantation as a treatment for hepatic alveolar echinococcosis: report of three cases.

作者信息

Demirbas Tolga, Akyildiz Murat, Dayangac Murat, Yaprak Onur, Dogusoy Gulen, Bassullu Nuray, Yuzer Yildiray, Tokat Yaman

出版信息

Hepatogastroenterology. 2015 Jan-Feb;62(137):93-7.

Abstract

Echinococcus alveolaris is a parasite from tenia family which causes tumor-like lesions in the livers of infected people. If it is not diagnosed in the early stage of the disease, it frequently causes multiple cysts in the liver. The clinical importance of the disease is rapid progression, infiltration into different tissues like a malignant tumor and capacity of creating metastatic masses. The disease could be treated either by surgical resection or liver transplantation. The resection of the cystic disease is the preferred treatment method. In cases where resection is not possible, liver transplantation is the choice of treatment. Here we present three cases which were admitted to the hospital with unresectable hepatic alveolar echinococcosis and treated by liver transplantation successfully. Patients for whom surgical resection is not possible, we recommend liver transplantation as the treatment method.

摘要

泡型棘球绦虫是绦虫科的一种寄生虫,可在受感染人群的肝脏中引发肿瘤样病变。如果在疾病早期未被诊断出来,它常常会在肝脏中形成多个囊肿。该疾病的临床重要性在于其进展迅速、像恶性肿瘤一样浸润到不同组织以及形成转移瘤的能力。该疾病可通过手术切除或肝移植进行治疗。囊肿性疾病的切除是首选治疗方法。在无法进行切除的情况下,肝移植是治疗选择。在此,我们呈现三例因不可切除的肝泡型棘球蚴病入院并成功接受肝移植治疗的病例。对于无法进行手术切除的患者,我们推荐肝移植作为治疗方法。

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