肝圓韌帶修補下腔靜脈治療復雜肝泡型包蟲病1例報道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

尕藏東周 ¹ , 喻定剛 ¹ , 田發蘭 ² ,  陳見中 ¹

1. ;
2. ;

Corresponding?author：

陳見中, Email: chen_jianzhong@sohu.com

Keywords：

肝包蟲病; 肝切除; 三維可視化技術; 下腔靜脈; 肝圓韌帶

DOI：

10.7507/1007-9424.202209029

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探討在CT三維重建輔助下利用肝圓韌帶修補下腔靜脈個體化治療復雜肝泡型包蟲病的臨床效果。方法術前采用免費軟件CT三維可視化技術進行精準評估，經多學科協作團隊討論后制定手術方案，行標準肝包蟲病根治術，再利用肝圓韌帶修補下腔靜脈缺損。結果本例患者術前三維可視化技術評估精確，術中與術前討論情況基本一致，術中利用肝圓韌帶修補下腔靜脈缺損。手術順利，術中出血量約600 mL，術后恢復順利。隨訪19個月時患者情況良好，無包蟲病復發及下腔靜脈狹窄。結論在基層醫院醫生可利用免費軟件行術前CT三維重建，可較好地滿足手術需要；應用肝圓韌帶修補下腔靜脈缺損后圍手術期及中遠期療效良好，為復雜肝泡型包蟲病的個體化治療提供了一種重要選擇。

Citation： 尕藏東周, 喻定剛, 田發蘭, 陳見中. 肝圓韌帶修補下腔靜脈治療復雜肝泡型包蟲病1例報道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(2): 214-217. doi: 10.7507/1007-9424.202209029 Copy

1.	張澤玲, 陳見中, 唐海燕, 等. 腹橫筋膜平面阻滯多模式鎮痛在加速康復外科肝包蟲病治療中的應用研究. 中國普外基礎與臨床雜志, 2022, 29(8): 1042-1047.
2.	張曼玉. 王文濤: 向“蟲癌”宣戰. 健康中國觀察, 2020, (10): 80-81.
3.	陳見中, 喻定剛, 蘭曉蓉, 等. 復雜泡型肝包蟲病MDT討論. 肝膽胰外科雜志, 2020, 32(3): 152-156.
4.	陳哲宇. 肝包蟲病的治療. 中國普外基礎與臨床雜志, 2015, 22(2): 129-130.
5.	何洋, 王文濤. 肝泡型棘球蚴病的手術多模式治療研究進展. 中國普外基礎與臨床雜志, 2021, 28(9): 1243-1248.
6.	溫浩, 邵英梅, 趙晉明, 等. 兩型肝包蟲病手術療效547例臨床分析. 中華消化外科雜志, 2007, 6(1): 13-18.
7.	阿依甫汗·阿汗, 吐爾干艾力, 邵英梅, 等. 肝包蟲病的外科治療現狀. 肝膽外科雜志, 2009, 17(1): 13-14.
8.	Du CZ, Li J, Cai Y, et al. Effect of multidisciplinary team treatment on outcomes of patients with gastrointestinal malignancy. World J Gastroenterol, 2011, 17(15): 2013-2018.
9.	Friedland PL, Bozic B, Dewar J, et al. Impact of multidisciplinary team management in head and neck cancer patients. Br J Cancer, 2011, 104(8): 1246-1248.
10.	Fang C, An J, Bruno A, et al. Consensus recommendations of three-dimensional visualization for diagnosis and management of liver diseases. Hepatol Int, 2020, 14(4): 437-453.
11.	Fang C, Zhang P, Qi X. Digital and intelligent liver surgery in the new era: prospects and dilemmas. EBioMedicine, 2019, 41: 693-701.
12.	Lahat E, Jaber A, Salloum C, et al. Porto-Rex shunt for left portal vein reconstruction during right extended hepatectomy for advanced extrahepatic biliary cancer. World J Surg, 2019, 43(4): 1117-1120.
13.	Fang CH, Tao HS, Yang J, et al. Impact of three-dimensional reconstruction technique in the operation planning of centrally located hepatocellular carcinoma. J Am Coll Surg, 2015, 220(1): 28-37.
14.	Cai W, Fan Y, Hu H, et al. Postoperative liver volume was accurately predicted by a medical image three dimensional visualization system in hepatectomy for liver cancer. Surg Oncol, 2017, 26(2): 188-194.
15.	Zhang J, Qiao QL, Guo XC, et al. Application of three-dimensional visualization technique in preoperative planning of progressive hilar cholangiocarcinoma. Am J Transl Res, 2018, 10(6): 1730-1735.
16.	Mise Y, Satou S, Shindoh J, et al. Three-dimensional volumetry in 107 normal livers reveals clinically relevant inter-segment variation in size. HPB (Oxford), 2014, 16(5): 439-447.
17.	Hallet J, Gayet B, Tsung A, et al. Systematic review of the use of pre-operative simulation and navigation for hepatectomy: current status and future perspectives. J Hepatobiliary Pancreat Sci, 2015, 22(5): 353-362.
18.	Zhao D, Lau WY, Zhou W, et al. Impact of three-dimensional visualization technology on surgical strategies in complex hepatic cancer. Biosci Trends, 2018, 12(5): 476-483.
19.	Yoshida N, Takamoto T, Hashimoto T, et al. Living donor liver transplantation using an extended right lateral sector graft. Liver Transpl, 2017, 23(3): 398-402.
20.	Soejima Y, Taguchi T, Sugimoto M, et al. Three-dimensional printing and biotexture modeling for preoperative simulation in living donor liver transplantation for small infants. Liver Transpl, 2016, 22(11): 1610-1614.
21.	王海濤, 陳強譜. 門靜脈腸系膜上靜脈修復重建材料的研究進展. 世界華人消化雜志, 2012, 20(26): 2467-2473.
22.	陳強譜, 歐琨, 管清海, 等. 肝圓韌帶重建門靜脈/腸系膜上靜脈的可行性探討. 山東醫藥, 2006, 46(36): 7-8.
23.	陳強譜, 張興元, 管清海, 等. 利用肝圓韌帶補片修復重建下腔靜脈二例. 中華臨床醫師雜志(電子版), 2009, 3(12): 2075-2077.
24.	朱文濤, 陳強譜, 張長習, 等. 成人肝圓韌帶的解剖學與組織學觀察. 中華臨床醫師雜志(電子版), 2011, 5(7): 2078-2080.
25.	管清海, 陳強譜, 張長習, 等. 肝圓韌帶內腔形態及內皮化情況觀察. 山東醫藥, 2011, 51(34): 15-16.

1. 張澤玲, 陳見中, 唐海燕, 等. 腹橫筋膜平面阻滯多模式鎮痛在加速康復外科肝包蟲病治療中的應用研究. 中國普外基礎與臨床雜志, 2022, 29(8): 1042-1047.
2. 張曼玉. 王文濤: 向“蟲癌”宣戰. 健康中國觀察, 2020, (10): 80-81.
3. 陳見中, 喻定剛, 蘭曉蓉, 等. 復雜泡型肝包蟲病MDT討論. 肝膽胰外科雜志, 2020, 32(3): 152-156.
4. 陳哲宇. 肝包蟲病的治療. 中國普外基礎與臨床雜志, 2015, 22(2): 129-130.
5. 何洋, 王文濤. 肝泡型棘球蚴病的手術多模式治療研究進展. 中國普外基礎與臨床雜志, 2021, 28(9): 1243-1248.
6. 溫浩, 邵英梅, 趙晉明, 等. 兩型肝包蟲病手術療效547例臨床分析. 中華消化外科雜志, 2007, 6(1): 13-18.
7. 阿依甫汗·阿汗, 吐爾干艾力, 邵英梅, 等. 肝包蟲病的外科治療現狀. 肝膽外科雜志, 2009, 17(1): 13-14.
8. Du CZ, Li J, Cai Y, et al. Effect of multidisciplinary team treatment on outcomes of patients with gastrointestinal malignancy. World J Gastroenterol, 2011, 17(15): 2013-2018.
9. Friedland PL, Bozic B, Dewar J, et al. Impact of multidisciplinary team management in head and neck cancer patients. Br J Cancer, 2011, 104(8): 1246-1248.
10. Fang C, An J, Bruno A, et al. Consensus recommendations of three-dimensional visualization for diagnosis and management of liver diseases. Hepatol Int, 2020, 14(4): 437-453.
11. Fang C, Zhang P, Qi X. Digital and intelligent liver surgery in the new era: prospects and dilemmas. EBioMedicine, 2019, 41: 693-701.
12. Lahat E, Jaber A, Salloum C, et al. Porto-Rex shunt for left portal vein reconstruction during right extended hepatectomy for advanced extrahepatic biliary cancer. World J Surg, 2019, 43(4): 1117-1120.
13. Fang CH, Tao HS, Yang J, et al. Impact of three-dimensional reconstruction technique in the operation planning of centrally located hepatocellular carcinoma. J Am Coll Surg, 2015, 220(1): 28-37.
14. Cai W, Fan Y, Hu H, et al. Postoperative liver volume was accurately predicted by a medical image three dimensional visualization system in hepatectomy for liver cancer. Surg Oncol, 2017, 26(2): 188-194.
15. Zhang J, Qiao QL, Guo XC, et al. Application of three-dimensional visualization technique in preoperative planning of progressive hilar cholangiocarcinoma. Am J Transl Res, 2018, 10(6): 1730-1735.
16. Mise Y, Satou S, Shindoh J, et al. Three-dimensional volumetry in 107 normal livers reveals clinically relevant inter-segment variation in size. HPB (Oxford), 2014, 16(5): 439-447.
17. Hallet J, Gayet B, Tsung A, et al. Systematic review of the use of pre-operative simulation and navigation for hepatectomy: current status and future perspectives. J Hepatobiliary Pancreat Sci, 2015, 22(5): 353-362.
18. Zhao D, Lau WY, Zhou W, et al. Impact of three-dimensional visualization technology on surgical strategies in complex hepatic cancer. Biosci Trends, 2018, 12(5): 476-483.
19. Yoshida N, Takamoto T, Hashimoto T, et al. Living donor liver transplantation using an extended right lateral sector graft. Liver Transpl, 2017, 23(3): 398-402.
20. Soejima Y, Taguchi T, Sugimoto M, et al. Three-dimensional printing and biotexture modeling for preoperative simulation in living donor liver transplantation for small infants. Liver Transpl, 2016, 22(11): 1610-1614.
21. 王海濤, 陳強譜. 門靜脈腸系膜上靜脈修復重建材料的研究進展. 世界華人消化雜志, 2012, 20(26): 2467-2473.
22. 陳強譜, 歐琨, 管清海, 等. 肝圓韌帶重建門靜脈/腸系膜上靜脈的可行性探討. 山東醫藥, 2006, 46(36): 7-8.
23. 陳強譜, 張興元, 管清海, 等. 利用肝圓韌帶補片修復重建下腔靜脈二例. 中華臨床醫師雜志(電子版), 2009, 3(12): 2075-2077.
24. 朱文濤, 陳強譜, 張長習, 等. 成人肝圓韌帶的解剖學與組織學觀察. 中華臨床醫師雜志(電子版), 2011, 5(7): 2078-2080.
25. 管清海, 陳強譜, 張長習, 等. 肝圓韌帶內腔形態及內皮化情況觀察. 山東醫藥, 2011, 51(34): 15-16.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

肝圓韌帶修補下腔靜脈治療復雜肝泡型包蟲病1例報道

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content