Hepatectomy for hepatic alveolar echinococcosis complicating cavernous transformation of the portal vein
10.3760/cma.j.cn113855-20201025-00810
- VernacularTitle:肝切除术治疗肝泡型棘球蚴病合并继发性门静脉海绵样变性
- Author:
Maolin WANG
1
;
Bo RAN
;
Tiemin JIANG
;
Ruiqing ZHANG
;
Qiang GUO
;
Hao WEN
;
Yingmei SHAO
Author Information
1. 新疆医科大学第一附属医院消化血管外科中心肝胆包虫病外科 新疆维吾尔自治区包虫及肝胆疾病临床医学研究中心，乌鲁木齐830054
- Keywords:
Echinococcosis,hepatic;
Portal vein;
Hepatectomy
- From:
Chinese Journal of General Surgery
2021;36(8):595-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and feasibility of hepatectomy in the treatment of hepatic alveolar echinococcosis with secondary cavernous transformation of the portal vein.Methods:The clinical data of 7 patients undergoing surgery at the First Affiliated Hospital of Xinjiang Medical University from Jan 2010 to Dec 2019 were retrospectively analyzed.Results:There were 1 case of cavernous type Ⅰ transformation of the portal vein and 6 cases of type Ⅱ. All patients underwent partial hepatectomy. The average operation time was (9.24±4.09) h. Two patients underwent resection of cavernous segment of portal vein and reconstruction by graft, Albendazole was taken orally for 2 years after discharge. Anticoagulants were taken orally in patients with artificial vascular reconstruction. No recurrence and vascular complications were found. Five patients underwent palliative resection without resection of the cavernous segment of the portal vein. During the follow-up, cavernous transformation of the portal vein progressed in 3 patients, 2 of them esophageal varices rupture and bleeding.Conclusion:Radical hepatectomy and revascularization are the first choice for the treatment of hepatic alveolar echinococcosis complicated with secondary cavernous transformation of portal vein the result was fair.
