Complex inferior vena cava reconstruction during ex vivo liver resection and autotransplantation:A case report  

作　　者：Jiayidaer Humaerhan Tie-Min Jiang Tuerganaili Aji Ying-Mei Shao Hao Wen 

机构地区：[1]Department of Hepatobiliary&Hydatid Diseases,Digestive&Vascular Surgery Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang Uygur Autonomous Region,China [2]State Key Laboratory of Pathogenesis,Prevention and Management of High Incidence Diseases in Central Asia,The First Clinical Medical College of Xinjiang Medical University,Urumqi 830054,Xinjiang Uygur Autonomous Region,China [3]Xinjiang Clinical Research Center for Echinococcosis and Hepatobiliary Diseases,First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang Uygur Autonomous Region,China

出　　处：《World Journal of Clinical Cases》2023年第23期5602-5609,共8页世界临床病例杂志

基　　金：Supported by Key Laboratory Opening Topic Fund Subsidization:The Regulation of Sympathetic Nerve in Liver Regeneration in Hepatic Alveolar Echinococcosis,No.2021D04024.

摘　　要：BACKGROUND Ex vivo liver resection and autotransplantation(ELRA)is an essential approach for treating patients with end-stage hepatic alveolar echinococcosis(AE),and its surgical indications involve severe invasion of important hepatic vessels,which makes in vivo resection impossible.Revascularization is a major step in the process of ELRA,which is extremely challenging when the invaded vessels have huge defects.CASE SUMMARY Herein,we have reported the case of a 26-year-old patient with hepatic AE in an autologous liver graft who underwent complex inferior vena cava(IVC)reconstruction using disease-free IVC,autologous portal vein fragments,and umbilical vein within the ligamentum teres hepatis.The patient showed good surgical recovery without vascular-related complications during the long-term follow-up.CONCLUSION We reviewed three studies that have reported complex revascularization of the IVC.This case report and systematic review showed that the use of autologous perihepatic vessels prevents donor-area trauma,immune rejection,and other adverse reactions.When the blood vessel is severely invaded and a single vascular material cannot repair and reconstruct the defect,ELRA may provide a safe and feasible surgical approach,which has good prospects for clinical application.

关 键 词：Hepatic alveolar echinococcosis Ex vivo liver resection and autotransplantation Inferior vena cava REVASCULARIZATION Case report 

分 类 号：R735.2[医药卫生—肿瘤]