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整块切除巨大多囊肝联合肝静脉及其自体肝静脉重建用于肝移植的安全手术方法。

En bloc excision of giant polycystic liver with hepatic cava and its auto-transplant caval reconstruction as a safe surgical procedure for liver transplantation.

机构信息

Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

出版信息

J Hepatobiliary Pancreat Sci. 2022 Nov;29(11):e104-e107. doi: 10.1002/jhbp.1138. Epub 2022 Apr 12.

DOI:10.1002/jhbp.1138
PMID:35305055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9790346/
Abstract

Safely excising a giant liver while leaving the hepatic inferior vena cava intact is difficult. Hata et al. present images and videos describing their novel technique consisting of total hepatectomy including the hepatic cava; extracorporeal retrieval; and auto-transplant inferior vena cava reconstruction, for an extremely enlarged polycystic liver weighing 24 kg.

摘要

安全地切除巨大的肝脏而不损伤肝下腔静脉是很困难的。Hata 等人展示了他们的新技术的图像和视频,该技术包括全肝切除术(包括肝静脉)、体外回收和自体下腔静脉重建,用于治疗重达 24 公斤的极度增大的多囊肝。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b818/9790346/e9cf2cf256f1/JHBP-29-e104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b818/9790346/5c282f595c9f/JHBP-29-e104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b818/9790346/e9cf2cf256f1/JHBP-29-e104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b818/9790346/5c282f595c9f/JHBP-29-e104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b818/9790346/e9cf2cf256f1/JHBP-29-e104-g003.jpg

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1
En bloc excision of giant polycystic liver with hepatic cava and its auto-transplant caval reconstruction as a safe surgical procedure for liver transplantation.整块切除巨大多囊肝联合肝静脉及其自体肝静脉重建用于肝移植的安全手术方法。
J Hepatobiliary Pancreat Sci. 2022 Nov;29(11):e104-e107. doi: 10.1002/jhbp.1138. Epub 2022 Apr 12.
2
Hepato-venous reconstruction in orthotopic liver transplantation with preservation of the recipients' inferior vena cava and veno-venous bypass.原位肝移植中保留受体下腔静脉和静脉-静脉转流的肝静脉重建术。
Langenbecks Arch Surg. 2000 Aug;385(5):350-6. doi: 10.1007/s004230000149.
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Modified Technique of Total Hepatectomy in Polycystic Liver Disease With Caval Flow Preservation: The Exposure Left Lateral Sectionectomy.保留腔静脉血流的多囊肝全切除术改良技术:显露左侧外叶切除术。
Transplantation. 2019 Jul;103(7):1414-1417. doi: 10.1097/TP.0000000000002538.
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Unusual Techniques for Preserving Surgical and Oncologic Safety in Hepatectomy of Advanced Adrenal Malignancy with Vena Cava and Liver Invasion.在伴有腔静脉和肝脏侵犯的晚期肾上腺恶性肿瘤肝切除术中,采用不同寻常的技术来保证手术和肿瘤学安全性。
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Surg Gynecol Obstet. 1992 Sep;175(3):270-2.
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[Liver transplantation with partial clamping of the inferior vena cava: preliminary experiences].[下腔静脉部分阻断的肝移植:初步经验]
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本文引用的文献

1
Massive Polycystic Liver with a Poor Performance Status Successfully Treated by ABO-incompatible Adult Living-donor Liver Transplantation While Overcoming Complications.巨大多囊肝伴功能状态不佳患者,通过克服并发症,成功接受 ABO 血型不相容的成人活体肝移植治疗。
Intern Med. 2022 Mar 15;61(6):841-849. doi: 10.2169/internalmedicine.8290-21. Epub 2021 Sep 4.
2
Modified Technique of Total Hepatectomy in Polycystic Liver Disease With Caval Flow Preservation: The Exposure Left Lateral Sectionectomy.保留腔静脉血流的多囊肝全切除术改良技术:显露左侧外叶切除术。
Transplantation. 2019 Jul;103(7):1414-1417. doi: 10.1097/TP.0000000000002538.
3
Sharp liver excision under hepatic vascular exclusion in case of liver transplant for large polycystic disease. Case report of a new surgical technique.
在因巨大多囊性疾病进行肝移植时采用肝血管阻断下的精准肝切除术。一种新手术技术的病例报告。
Int J Surg Case Rep. 2018;44:143-147. doi: 10.1016/j.ijscr.2018.01.001. Epub 2018 Jan 8.
4
Liver Transplantation for Polycystic Liver Disease Due to Huge Liver With Related Complications: A Case Report.巨大肝脏伴相关并发症的多囊性肝病的肝移植:一例报告
Transplant Proc. 2017 Apr;49(3):603-605. doi: 10.1016/j.transproceed.2017.01.033.
5
Diagnosis and management of polycystic liver disease.多囊肝病的诊断与治疗。
Nat Rev Gastroenterol Hepatol. 2013 Feb;10(2):101-8. doi: 10.1038/nrgastro.2012.254. Epub 2013 Jan 8.