Yoshimi F, Meigata K, Nagao T, Fukushima S, Uchida H, Wakabayashi T
Department of Organ Transplantation, University of Tokyo, Japan.
Surg Today. 1994;24(3):268-71. doi: 10.1007/BF02032900.
A 54-year-old man with a 15-year history of liver disease, was found by his family physician to have multiple tumors in the right lobe of the liver and a large right retroperitoneal tumor. He was referred and admitted to our institute where a preoperative diagnosis of liver cirrhosis complicated by hepatocellular carcinoma and probable right adrenal metastasis was made. Because his hepatic functional reserve was so poor, only resection of the right adrenal tumor with a splenectomy for hypersplenism and a cholecystectomy for the prevention of cholecystitis secondary to the scheduled transcatheter arterial embolization was performed. The patient was discharged in good clinical condition 5 weeks after surgery.
一名有15年肝病病史的54岁男性，被其家庭医生发现肝脏右叶有多个肿瘤以及一个巨大的右腹膜后肿瘤。他被转诊至我院并入院，术前诊断为肝硬化合并肝细胞癌，可能有右肾上腺转移。由于其肝功能储备极差，仅进行了右肾上腺肿瘤切除，同时行脾切除术治疗脾功能亢进，并进行胆囊切除术以预防因计划中的经动脉导管栓塞术继发的胆囊炎。患者术后5周临床状况良好出院。
