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肝切除术后肝淋巴漏的经皮栓塞治疗

Percutaneous embolization of hepatic lymphorrhea post-hepatectomy.

作者信息

Dung Le Viet, Binh Nguyen Thai, Linh Le Tuan, Hien Phan Nhan, Dung Tran Ngoc, Long Tran Bao, My Thieu-Thi Tra, Duc Nguyen Minh

机构信息

Department of Radiology, Hanoi Medical University Hospital, Hanoi 100000, Vietnam.

Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2021 Dec 16;17(3):549-552. doi: 10.1016/j.radcr.2021.11.070. eCollection 2022 Mar.

Abstract

Abdominal effusion due to hepatic lymphorrhea post-hepatectomy is an extremely rare and complex complication in clinical practice. No standard treatment method has been established for this condition to date. We report a case of complicated intra-abdominal lymphatic leakage in a patient following hepatectomy to treat hepatocellular carcinoma. The patient underwent percutaneous embolization of the hilar hepatic lymphatic system, combined with intensive medical treatment. Percutaneous embolization represents a safe and effective method that should be considered as a first-line treatment for this complication.

摘要

肝切除术后肝淋巴漏导致的腹腔积液是临床实践中极为罕见且复杂的并发症。迄今为止,针对这种情况尚未确立标准的治疗方法。我们报告一例肝细胞癌患者肝切除术后并发腹腔内淋巴漏的病例。该患者接受了肝门部肝淋巴系统的经皮栓塞术,并辅以强化内科治疗。经皮栓塞术是一种安全有效的方法,应被视为该并发症的一线治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/576d/8693431/afb5df996edf/gr1.jpg

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