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目的总结离体肝切除、余肝自体移植术治疗肝占位性病变的体会。方法回顾性分析云南省第一人民医院2007-03-10及2008-01-23收治的2例接受离体肝切除、余肝自体移植病人的临床资料。其中肝脏巨大血管瘤1例,肝尾叶巨大错构瘤1例。结果2例病人术程顺利,术后未发现肝衰、肾衰。1例术后肝创面活动出血,术后36h后再次开腹止血。术后恢复正常。平均12d肝功能指标完全正常。术后30~45d出院。1例随访11个月,肝功能正常,CT显示无新发血管瘤,生活质量高;1例术后1个月,肝功能完全正常,CT显示肝脏无异常。结论离体肝脏肿瘤切除、余肝自体移植术是治疗常规手术无法切除的肝占位性病变的一种有效方法。
Objective To summarize the experience of ex vivo hepatectomy and hepatic autotransplantation in the treatment of liver space-occupying lesions. Methods The clinical data of 2 patients undergoing hepatectomy and autologous liver autograft in First Affiliated Hospital of Yunnan Province from 2007-03-10 and 2008-01-23 were retrospectively analyzed. One case of giant hemangioma liver, liver giant hamartoma 1 case. Results The operation of 2 patients was successful. No liver failure and renal failure were found after operation. One case of postoperative liver wound bleeding, after 36h again open to stop bleeding. After surgery returned to normal. Average 12d liver function indicators are completely normal. 30 ~ 45d after discharge. One case was followed up for 11 months and had normal liver function. CT showed no new hemangiomas and high quality of life. One case had normal liver function one month after operation, and CT showed no abnormalities in the liver. Conclusions Excised liver tumor resection and autologous liver allograft are an effective method for the treatment of unresectable hepatic space-occupying lesions.