Masutani S, Sasaki Y, Imaoka S, Kishimoto S, Iwamoto S, Nakamori S, Ohigashi H, Kameyama M, Hiratsuka M, Ishikawa O
Dept. of Surgery, Center for Adult Diseases, Osaka.
Gan To Kagaku Ryoho. 1993 Aug;20(11):1489-91.
Two patients with recurrent hepatocellular carcinoma close to the diaphragma, underwent TAE following decollateralization using silicone rubber sheeting with thoracotomy. The patients suffered from severe liver cirrhosis. Laparotomy was not carried out for the preservation of hepatic function. After wrapping therapy, serum AFP level was reduced to almost the normal range in one case, but in another case to half because of bilateral lung metastasis. The maximum serum level of postoperative serum total bilirubin in these 2 cases was 2.0 mg/dl and 1.6 mg/dl, respectively. We think wrapping therapy with thoracotomy is readily applicable for patients with severe cirrhosis.
两名复发性肝细胞癌靠近膈肌的患者，在开胸使用硅橡胶片进行侧支循环阻断后接受了经动脉栓塞化疗（TAE）。患者患有严重肝硬化。为了保留肝功能未进行剖腹手术。包裹治疗后，一例患者血清甲胎蛋白（AFP）水平降至几乎正常范围，但另一例由于双侧肺转移降至一半。这2例患者术后血清总胆红素的最高水平分别为2.0mg/dl和1.6mg/dl。我们认为开胸包裹治疗对于严重肝硬化患者很容易适用。
