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复杂感染的肝切除术:一例报告

liver resection for complex infection: a case report.

作者信息

Kjeseth Trond, Line Pål-Dag, Khan Ammar, Solheim Jon M, Bjørk Ida G, Sundal Jon, Jensenius Mogens, Yaqub Sheraz

机构信息

Department of Gastrointestinal Surgery, Stavanger University Hospital, 4011 Stavanger, Norway.

Section for Transplant Surgery, Department of Transplantation Medicine, Oslo University Hospital, 0424 Oslo, Norway.

出版信息

J Surg Case Rep. 2024 Jun 12;2024(6):rjae410. doi: 10.1093/jscr/rjae410. eCollection 2024 Jun.

Abstract

, the fox dwarf tapeworm, causes alveolar echinococcosis (AE), a critical and life-threatening condition. A radical surgical approach represents the only curative option. In this case study, we present a 37-year-old man diagnosed with extensive hepatic AE requiring extended right-sided liver resection including the caudate lobe and retro-hepatic vena cava. The left liver segments were auto-transplanted with reconstruction of the left hepatic vein and an inferior vena cava graft. In the post-operative course, the patient developed a bile leak, which was successfully managed with endoscopic stent intervention. He was discharged after a three-week hospitalization. Medical treatment with albendazole was initiated preoperatively and continued postoperatively.

摘要

细粒棘球绦虫可导致泡型包虫病(AE),这是一种严重且危及生命的疾病。根治性手术是唯一的治愈选择。在本病例研究中,我们介绍了一名37岁男性,被诊断为广泛肝泡型包虫病,需要进行包括尾状叶和肝后下腔静脉的扩大右半肝切除术。左肝段进行了自体移植,并重建了左肝静脉和下腔静脉移植物。在术后过程中,患者出现胆漏,通过内镜支架干预成功处理。住院三周后出院。术前开始使用阿苯达唑进行药物治疗,并在术后继续使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c0/11167564/81dec644572c/rjae410f1.jpg

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