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Two-stage hepatectomy for multiple giant alveolar echinococcosis.

Abstract Alveolar echinococcosis is a chronically progressive and potentially fatal disease. Patients with multiple giant alveolar echinococcosis have a poor prognosis when radical resection cannot be achieved, but curative resection can be limited by low future remnant liver volumes. In these cases, 2-stage liver resection may be a better choice: after a first-stage hepatectomy with partial resection, liver regeneration is allowed in the residual liver before proceeding to the second-stage hepatectomy. In this study, we therefore retrospectively reviewed and evaluated the safety and feasibility of two-stage hepatectomy in patients with multiple giant alveolar echinococcosis.We reviewed the data for all patients who underwent 2-stage hepatectomy for multiple giant alveolar echinococcosis between August 2013 and December 2015 at either the West China Hospital of Sichuan University or the Hospital of Ganzi Tibetan Autonomous Prefecture.We identified 7 patients in whom 2-stage hepatectomy was completed. During the first-stage hepatectomy, 4 patients underwent right-sided hepatectomy and the other 3 underwent left-sided hepatectomy. The second-stage hepatectomies were successfully performed 3 months after the first-stage procedures. All patients had follow-up durations of >1 year; there were no cases of operation-related mortality, and no patients experienced disease recurrence.Two-stage hepatectomy is safe and feasible for patients with multiple giant alveolar echinococcosis.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28816980
OWN - NLM
STAT- In-Process
DA  - 20170817
LR  - 20170817
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 33
DP  - 2017 Aug
TI  - Two-stage hepatectomy for multiple giant alveolar echinococcosis.
PG  - e7819
LID - 10.1097/MD.0000000000007819 [doi]
AB  - Alveolar echinococcosis is a chronically progressive and potentially fatal
      disease. Patients with multiple giant alveolar echinococcosis have a poor
      prognosis when radical resection cannot be achieved, but curative resection can
      be limited by low future remnant liver volumes. In these cases, 2-stage liver
      resection may be a better choice: after a first-stage hepatectomy with partial
      resection, liver regeneration is allowed in the residual liver before proceeding 
      to the second-stage hepatectomy. In this study, we therefore retrospectively
      reviewed and evaluated the safety and feasibility of two-stage hepatectomy in
      patients with multiple giant alveolar echinococcosis.We reviewed the data for all
      patients who underwent 2-stage hepatectomy for multiple giant alveolar
      echinococcosis between August 2013 and December 2015 at either the West China
      Hospital of Sichuan University or the Hospital of Ganzi Tibetan Autonomous
      Prefecture.We identified 7 patients in whom 2-stage hepatectomy was completed.
      During the first-stage hepatectomy, 4 patients underwent right-sided hepatectomy 
      and the other 3 underwent left-sided hepatectomy. The second-stage hepatectomies 
      were successfully performed 3 months after the first-stage procedures. All
      patients had follow-up durations of >1 year; there were no cases of
      operation-related mortality, and no patients experienced disease
      recurrence.Two-stage hepatectomy is safe and feasible for patients with multiple 
      giant alveolar echinococcosis.
FAU - Shen, Hao-De
AU  - Shen HD
AD  - aDepartment of Liver Surgery and Liver Transplantation Center, West China
      Hospital of Sichuan University, Chengdu bHydatid Disease Institute of Ganzi
      Prefecture, Ganzi Tibetan Autonomous Prefecture, Sichuan Province, China.
FAU - Chen, Ke-Fei
AU  - Chen KF
FAU - Li, Bo
AU  - Li B
FAU - Zhang, Han-Zhi
AU  - Zhang HZ
FAU - Yang, Kang-Ming
AU  - Yang KM
FAU - Chen, Yin
AU  - Chen Y
FAU - Li, Jia-Xin
AU  - Li JX
FAU - Chen, Zhe-Yu
AU  - Chen ZY
FAU - Meng, Ta
AU  - Meng T
FAU - Ma, Zhi
AU  - Ma Z
FAU - Li, Hong-Zhi
AU  - Li HZ
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2017/08/18 06:00
MHDA- 2017/08/18 06:00
CRDT- 2017/08/18 06:00
AID - 10.1097/MD.0000000000007819 [doi]
AID - 00005792-201708180-00047 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Aug;96(33):e7819. doi: 10.1097/MD.0000000000007819.