肝圆韧带修补下腔静脉治疗复杂肝泡型包虫病1例报道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

尕藏东周 ¹ , 喻定刚 ¹ , 田发兰 ² ,  陈见中 ¹

1. ;
2. ;

Corresponding author：

陈见中, Email: chen_jianzhong@sohu.com

Keywords：

肝包虫病; 肝切除; 三维可视化技术; 下腔静脉; 肝圆韧带

DOI：

10.7507/1007-9424.202209029

Video：

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目的探讨在CT三维重建辅助下利用肝圆韧带修补下腔静脉个体化治疗复杂肝泡型包虫病的临床效果。方法术前采用免费软件CT三维可视化技术进行精准评估，经多学科协作团队讨论后制定手术方案，行标准肝包虫病根治术，再利用肝圆韧带修补下腔静脉缺损。结果本例患者术前三维可视化技术评估精确，术中与术前讨论情况基本一致，术中利用肝圆韧带修补下腔静脉缺损。手术顺利，术中出血量约600 mL，术后恢复顺利。随访19个月时患者情况良好，无包虫病复发及下腔静脉狭窄。结论在基层医院医生可利用免费软件行术前CT三维重建，可较好地满足手术需要；应用肝圆韧带修补下腔静脉缺损后围手术期及中远期疗效良好，为复杂肝泡型包虫病的个体化治疗提供了一种重要选择。

Citation： 尕藏东周, 喻定刚, 田发兰, 陈见中. 肝圆韧带修补下腔静脉治疗复杂肝泡型包虫病1例报道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(2): 214-217. doi: 10.7507/1007-9424.202209029 Copy

1.	张泽玲, 陈见中, 唐海燕, 等. 腹横筋膜平面阻滞多模式镇痛在加速康复外科肝包虫病治疗中的应用研究. 中国普外基础与临床杂志, 2022, 29(8): 1042-1047.
2.	张曼玉. 王文涛: 向“虫癌”宣战. 健康中国观察, 2020, (10): 80-81.
3.	陈见中, 喻定刚, 兰晓蓉, 等. 复杂泡型肝包虫病MDT讨论. 肝胆胰外科杂志, 2020, 32(3): 152-156.
4.	陈哲宇. 肝包虫病的治疗. 中国普外基础与临床杂志, 2015, 22(2): 129-130.
5.	何洋, 王文涛. 肝泡型棘球蚴病的手术多模式治疗研究进展. 中国普外基础与临床杂志, 2021, 28(9): 1243-1248.
6.	温浩, 邵英梅, 赵晋明, 等. 两型肝包虫病手术疗效547例临床分析. 中华消化外科杂志, 2007, 6(1): 13-18.
7.	阿依甫汗·阿汗, 吐尔干艾力, 邵英梅, 等. 肝包虫病的外科治疗现状. 肝胆外科杂志, 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.	王海涛, 陈强谱. 门静脉肠系膜上静脉修复重建材料的研究进展. 世界华人消化杂志, 2012, 20(26): 2467-2473.
22.	陈强谱, 欧琨, 管清海, 等. 肝圆韧带重建门静脉/肠系膜上静脉的可行性探讨. 山东医药, 2006, 46(36): 7-8.
23.	陈强谱, 张兴元, 管清海, 等. 利用肝圆韧带补片修复重建下腔静脉二例. 中华临床医师杂志(电子版), 2009, 3(12): 2075-2077.
24.	朱文涛, 陈强谱, 张长习, 等. 成人肝圆韧带的解剖学与组织学观察. 中华临床医师杂志(电子版), 2011, 5(7): 2078-2080.
25.	管清海, 陈强谱, 张长习, 等. 肝圆韧带内腔形态及内皮化情况观察. 山东医药, 2011, 51(34): 15-16.

1. 张泽玲, 陈见中, 唐海燕, 等. 腹横筋膜平面阻滞多模式镇痛在加速康复外科肝包虫病治疗中的应用研究. 中国普外基础与临床杂志, 2022, 29(8): 1042-1047.
2. 张曼玉. 王文涛: 向“虫癌”宣战. 健康中国观察, 2020, (10): 80-81.
3. 陈见中, 喻定刚, 兰晓蓉, 等. 复杂泡型肝包虫病MDT讨论. 肝胆胰外科杂志, 2020, 32(3): 152-156.
4. 陈哲宇. 肝包虫病的治疗. 中国普外基础与临床杂志, 2015, 22(2): 129-130.
5. 何洋, 王文涛. 肝泡型棘球蚴病的手术多模式治疗研究进展. 中国普外基础与临床杂志, 2021, 28(9): 1243-1248.
6. 温浩, 邵英梅, 赵晋明, 等. 两型肝包虫病手术疗效547例临床分析. 中华消化外科杂志, 2007, 6(1): 13-18.
7. 阿依甫汗·阿汗, 吐尔干艾力, 邵英梅, 等. 肝包虫病的外科治疗现状. 肝胆外科杂志, 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. 王海涛, 陈强谱. 门静脉肠系膜上静脉修复重建材料的研究进展. 世界华人消化杂志, 2012, 20(26): 2467-2473.
22. 陈强谱, 欧琨, 管清海, 等. 肝圆韧带重建门静脉/肠系膜上静脉的可行性探讨. 山东医药, 2006, 46(36): 7-8.
23. 陈强谱, 张兴元, 管清海, 等. 利用肝圆韧带补片修复重建下腔静脉二例. 中华临床医师杂志(电子版), 2009, 3(12): 2075-2077.
24. 朱文涛, 陈强谱, 张长习, 等. 成人肝圆韧带的解剖学与组织学观察. 中华临床医师杂志(电子版), 2011, 5(7): 2078-2080.
25. 管清海, 陈强谱, 张长习, 等. 肝圆韧带内腔形态及内皮化情况观察. 山东医药, 2011, 51(34): 15-16.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

肝圆韧带修补下腔静脉治疗复杂肝泡型包虫病1例报道

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