中国普通外科杂志2012，Vol.21Issue(7)：864-868,5.
“减体积式病灶肝切除”治疗晚期肝巨大泡型包虫病的临床应用
Reduced-size hepatectomy for advanced giant hepatic alveolar echinococcosis
摘要
Abstract
To investigate the clinical value and therapeutic effect of reduced-size hepatectomy on advanced huge hepatic alveolar echinococcosis (HAE).Methods: The clinical data of 4 patients with advanced giant HAE and with difficulty to achieve radical resection who underwent reduced-size liver resection from August 2010 to February 2011 were analyzed. For all patients, comprehensive assessments were made before operation, indications and timing for operation were strictly controlled, accurate and precise procedures were performed during operation, and anti-echinococcosistherapy was initiated postoperatively with oral administration of albendazole (ABZ). Results: Operations were successfully performed in all the 4 patients. The median operative time was 267.5 min (210-320 min), median intraoperative blood loss was 737.5 mL (600-950 mL) and the median red blood cell transfusion requirement was 4.0 U (2-6 U), respectively. The mean follow-up was 10 months (8-14 months), during which 1 case developed biliary fistula of the residual hydatid cavity, and 1 case had residual cavity hydrops. The previous obstructive jaundice and lower extremity edema of the patients were all relieved, and no intrahepatic dissemination or death occurred.关键词
棘球蚴病,肝/外科学/肝切除术,减体积式/阿苯达唑Key words
Echinococcosis, Hepatic/surg/ Hepatectomy, Reduced-size/ Albendazole分类
医药卫生引用本文复制引用
李作安,吐尔干艾力·阿吉,冉博,温浩,邵英梅..“减体积式病灶肝切除”治疗晚期肝巨大泡型包虫病的临床应用[J].中国普通外科杂志,2012,21(7):864-868,5.基金项目
新疆维吾尔自治区科技支疆资助项目(200891126) （200891126）
新疆乌鲁木齐市科技局科技攻关资助项目(G08231001) （G08231001）
新疆医科大学第一附属医院科研奖励基金资助项目(2007-YFY-14). （2007-YFY-14）
