同种原位肝移植治疗晚期肝包虫病  

Orthotopic Liver Transplantation for Patient with Alveolar Hydatid Disease

作　　者：严律南[1] 李波[1] 卢实春[1] 林琦远[1] 曾勇[1] 程南生[1] 文天夫[1] 赵继春[1] 罗朝志[2] 罗传新[3] 邓承琪[4] 

机构地区：[1]四川大学华西医院普外科,成都610041 [2]四川大学华西医院麻醉科 [3]四川大学华西医院ICU [4]四川大学华西医院内科

出　　处：《中国普外基础与临床杂志》2002年第1期28-30,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的　探讨肝包虫病肝移植的适应证及可行性。方法　对 2例男性不能切除的晚期肝泡球蚴患者进行了原位肝移植术 ,术中采用了先转流后游离肝周技术。结果　 2例肝移植患者术中出血少 ,术后过程平稳 ,恢复良好 ,分别随访 9个月及 3个月 ,已恢复工作。结论　晚期肝包虫病是肝移植的良好指征 。Objective To investigate the indication and possibility of orthotopic liver transplantation for patient with alveolar hydatid disease. Methods An orthotopic liver transplantaion was successfully performed on two cases with unresectable alveolar hydatid disease using the new approach of venovenous bypass first. Results The recovery of liver graft function was good after the operation in these patients. Following up for nine and three months, the patients returned to his work without any complications. Conclusion It suggests that the case with advanced alveolar hydatid disease are an indication for liver transplantation. The new technique of venovenous bypass prior to mobilization of liver is feasible and safe.

关 键 词：肝移植 泡球蚴病 静脉转流 

分 类 号：R657.3[医药卫生—外科学] R532.32[医药卫生—临床医学]