中国实用外科杂志Issue(8)：749-753,5.DOI:10.7504/CJPS.ISSN1005-2208.2014.08.21
半离体或离体肝切除联合自体肝移植适应证探讨（附36例报告）
Research on the indications of half in situ or ex situ liver resection and liver autotransplantation:A report 36 cases
摘要
Abstract
Objective To research indications and association issues of half in situ or ex situ liver resection and liver autotransplantation. Methods The clinical data of 36 cases of half in situ or ex situ liver resection and liver autotransplantation completed form October 2005 to December 2011 in Zhongnan Hospital of Wuhan University and the Third Xiangya Hospital of Central South University were analyzed retrospectively and sorted in disease species and anatomical indications. Results Cardiac arrest occurred in 2 cases and operation was successful in other 34 cases. A total of 34 cases were followed up with a median follow-up of 4 years ( 2-8 years ) as of May 2013. Only one of the 13 cases with benign disease had primary recurrence 5 months later with the hydatid violated the residual bile duct surrounding tissue,and was survival under the RFA treatment. Ten of 23 cases of maligant disease had postoperative tumor metastasis recurrence and the remaining 13 cases were still alive, the longest one survived 7.5 years. Conclusion The following 5 anatomic structures of tumor position can be implemented with half in situ or ex situ liver resection and liver autotransplantation:the trigonum of right hepatic vein (RHV),middle hepatic vein (MHV) and retrohepatic inferior vena cava (RIVC);the trigonum of left hepatic vein (LHV),MHV and RIVC;caudate lobe and segmentⅣ;the trigonum of left branch of portal vein (LPV), trunk of MHV and RIVC;the trigonum of right branch of portal vein (RPV),trunk of MHV and RIVC.关键词
肝切除/自体肝移植/解剖特征Key words
liver resection/liver autotransplanta-tion/anatomical characteristics分类
医药卫生引用本文复制引用
叶啟发,李弦,范晓礼,王彦峰,李玲,范林,钟自彪..半离体或离体肝切除联合自体肝移植适应证探讨（附36例报告）[J].中国实用外科杂志,2014,(8):749-753,5.基金项目
湖北省自然科学基金项目（No.2012FFA044）；武汉市科技攻关项目（No.201161038344-01）；武汉市科技局公共服务平台建设计划项目 （）
