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内镜下射频消融联合全覆膜自膨式金属支架治疗肝移植患者不可切除的壶腹周围癌:1例报告

Endoscopic radiofrequency ablation combined with fully covered self-expandable metal stent for inoperable periampullary carcinoma in a liver transplant patient: A case report.

作者信息

Tian Qing, Wang Guijie, Zhang Yamin, Jin Yan, Cui Zilin, Sun Xiaoye, Shen Zhongyang

机构信息

Department of Hepatobiliary Surgery Department of Transplantation, Tianjin First Center Hospital, Tianjin Medical University, Tianjin, China.

出版信息

Medicine (Baltimore). 2017 Feb;96(5):e5790. doi: 10.1097/MD.0000000000005790.

Abstract

RATIONALE

Postliver transplant periampullary carcinoma is an extremely uncommon disease.

PATIENT CONCERNS

Cutaneous jaundice in a patient who had received a liver transplant 4 years earlier.

DIAGNOSIS

Periampullary carcinoma.

INTERVENTIONS

Radiofrequency ablation plus fully covered self-expanding metal stents (FCSEMS).

OUTCOMES

The treatment of malignant neoplasm of the ampulla of Vater is the patient by radiofrequency ablation plus FCSEMS placement was successful. No complications occurred.

LESSONS

This is the first reported case of a liver transplant patient with inoperable periampullary carcinoma successfully treated by radiofrequency ablation plus FCSEMS placement. Our experience will be useful to other surgeons in managing similar patients in the future.

摘要

理论依据

肝移植术后壶腹周围癌是一种极为罕见的疾病。

患者情况

一名4年前接受肝移植的患者出现皮肤黄疸。

诊断

壶腹周围癌。

干预措施

射频消融术加全覆膜自膨式金属支架(FCSEMS)。

结果

通过射频消融术加放置FCSEMS对该患者的 Vater 壶腹恶性肿瘤进行治疗取得成功。未发生并发症。

经验教训

这是首例报道的肝移植患者无法手术切除的壶腹周围癌通过射频消融术加放置FCSEMS成功治疗的病例。我们的经验对未来其他外科医生处理类似患者将有帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab1/5293417/1740124c40b6/medi-96-e5790-g001.jpg

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