LI Zhihong , YANG Kangming , XIE Dekun , XIE Guilong , ZHANG Kui
  • The First Department of Hepatobiliary Surgery, Ganzi Tibetan Autonomous Prefecture People’s Hospital, Kangding, Sichuan 626000,P. R. China;
LI Zhihong, Email: 18332404@qq.com
hepatic alveolar hydatid disease; inferior vena cava; vascular replacement
10.7507/1007-9424.201911084
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Objective To summarize the effect of artificial blood vessel replacement in the treatment of complex hepatic alveolar hydatid disease involving retrohepatic inferior vena cava.Method Clinical data of 5 patients with hepatic alveolar hydatid disease involving retrohepatic inferior vena cava, who underwent vena cava replacement operation from June 2018 to August 2019 in our hospital were collected to analyzed.Results The operation was successfully completed in all the 5 patients, and the hepatic hydatid space-occupying lesions were completely removed. Among them, 2 cases underwent extended right hemihepatectomy and caudate lobectomy, the operative time was 7 h and 8 h, the intraoperative blood loss was 600 mL and 400 mL, respectively, and the hospital stay were both 14 d. Three cases underwent autotransplantation surgery, with the operative time of 16 h, 12 h, and 12 h, the intraoperative blood loss was 1 500 mL, 1 500 mL, and 1 000 mL, and the hospital stay were 24, 20, and 19 d, respectively. There was no massive hemorrhage occurred, and 1 case suffered from liver failure (compensatory period), 2 cases suffered form bile leakage, all of which were cured by liver protection, anti infection, and drainage. During the follow-up period, the 5 cases were all in good condition, no relapse or recurrence occurred, and the quality of life was good.Conclusion The replacement of the infected inferior vena cava by artificial blood vessel is an effective and feasible method for the treatment of hepatic alveolar hydatid disease involving retrohepatic inferior vena cava.

Citation： LI Zhihong, YANG Kangming, XIE Dekun, XIE Guilong, ZHANG Kui. Preliminary study on the effect of inferior vena cava replacement in treatment of hepatic alveolar hydatid disease invading inferior vena cava: report of 5 cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(1): 30-33. doi: 10.7507/1007-9424.201911084 Copy

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