多房棘球蚴病肝切除术后并发症的研究进展
Research Progress of Complications after Hepatectomy for Multilocular Echinococ-cosis
DOI: 10.12677/ACM.2022.127976, PDF,   
作者: 何宏材：青海大学医学院，青海 西宁；侯立朝*：青海大学附属医院，青海 西宁
关键词: 多房棘球蚴；肝切除术；肝移植；并发症；Multilocular Echinococcosis； Hepatectomy； Liver Transplantation； Complications
摘要: 多房棘球蚴病是一种严重危害人体健康和影响经济发展的寄生虫疾病，因其具有浸润式生长和远处转移的类癌生长方式，根治性肝切除术是临床上多房棘球蚴病的主要治疗方式。而肝切除术对条件和技术要求高，且术中创伤大，增加了术后并发症和死亡的风险，因此选择合适的手术方式及术后预防尤为重要。本文就多房棘球蚴病肝切除术后可能引起的并发症的研究进展做一综述，为预防术后并发症提供临床思路。
Abstract: Multilocular echinococcosis is a parasitic disease that seriously harms human health and affects economic development. Because of its invasive growth and distant metastasis, radical hepatectomy is the main treatment of multilocular echinococcosis. Hepatectomy requires high conditions and techniques, and the intraoperative trauma is large, which increases the risk of postoperative com-plications and death, so it is particularly important to choose appropriate surgical methods and postoperative prevention. This article reviews the research progress of possible complications after hepatectomy for multilocular echinococcosis in order to provide clinical ideas for the prevention of postoperative complications.
文章引用：何宏材, 侯立朝. 多房棘球蚴病肝切除术后并发症的研究进展[J]. 临床医学进展, 2022, 12(7): 6765-6769. https://doi.org/10.12677/ACM.2022.127976

参考文献

[1] 沈舒. 泡型肝包虫病诊疗专家共识(2020版) [J]. 中国普外基础与临床杂志, 2020, 27(1): 13-17.
[2] 郭兵, 庞明泉, 许晓磊, 韩军伟, 王海久. 预测两型肝包虫病肝切除术后并发症列线图的建立及评价[J]. 临床肝胆病杂志, 2021, 37(11): 2626-2631.
[3] Li, Y.P., Ma, Z.G., Tuxun, T., Li, Z.D., Meng, Y. and Chen, X. (2020) The Application of Laparoscopy Combined with Indocyanine Green Fluorescence Imaging Technique for Hepatic Cystic Echinococcosis. BMC Surgery, 20, Article No. 249. [Google Scholar] [CrossRef] [PubMed]
[4] 王文涛, 杨闯, 严律南. 肝泡型包虫病外科根治性治疗的新理念与策略[J]. 中华医学杂志, 2018, 98(38): 3049-3051.
[5] Sato, N., Namieno, T., Furuya, K., Takahashi, H., Yamashita, K., Uchino, J., et al. (1997) Contribution of Mass Screening System to Resec-tability of Hepatic Lesions Involving Echinococcus multilocularis. Journal of Gastroenterology, 32, 351-354. [Google Scholar] [CrossRef] 
[6] Hillenbrand, A., Gruener, B., Kratzer, W., Kern, P., Graeter, T., Barth, T.F., et al. (2017) Impact of Safe Distance on Long-Term Outcome after Surgical Therapy of Alveolar Echinococcosis. World Journal of Surgery, 41, 1012-1018. [Google Scholar] [CrossRef] [PubMed]
[7] 马智, 魏耕富, 智明. 根治性手术与传统开放术治疗肝包虫病的临床效果比较[J]. 四川解剖学杂志, 2019, 27(3): 11-12+15.
[8] 陈嘉飞. 腹腔镜下复发肝癌切除术的临床研究[J]. 中外医疗, 2020, 39(31): 63-65.
[9] 王松. 腹腔镜肝癌根治术与开腹手术治疗肝癌的临床疗效及预后观察[J]. 黑龙江医学, 2021, 45(23): 2494-2495+2498.
[10] 母齐鸣, 贺伟, 侯桂敏, 李春林, 廖波, 刘欣, 等. 腹腔镜与开腹手术治疗肝包虫病患者的临床疗效及术后并发症对比分析[J]. 湖南师范大学学报(医学版), 2018, 15(4): 14-17.
[11] Wan, L., Wang, T., Cheng, L. and Yu, Q. (2022) Laparoscopic Treatment Strategies for Liver Echinococ-cosis. Infectious Diseases and Therapy. [Google Scholar] [CrossRef] [PubMed]
[12] 冯鹏才, 杨金煜, 唐明杰, 赵克昌, 李珂. 腹腔镜联合胆道镜手术治疗肝包虫病患者初步疗效研究[J]. 实用肝脏病杂志, 2018, 21(1): 135-136.
[13] Wan, L., Ran, B., Aji, T., Shao, Y., Jiang, T. and Wen, H. (2021) Laparoscopic or Open Treatment for Hepatic Alveolar Echinococcosis: A Single-Institution Experience. International Journal of Infectious Disease, 107, 182-187. [Google Scholar] [CrossRef] [PubMed]
[14] Xu, J. and Zhao, Y. (2015) Comparison of Percutaneous Microwave Ablation and Laparoscopic Resection in the Prognosis of Liver Cancer. International Journal of Clinical and Experi-mental Pathology, 8, 11665-11669.
[15] 中国医师协会外科医师分会包虫病外科专业委员会. 肝两型包虫病诊断与治疗专家共识(2019版) [J]. 中华消化外科杂志, 2019, 18(8): 711-721.
[16] Joliat, G.R., Melloul, E., Petermann, D., Demartines, N., Gillet, M., Uldry, E., et al. (2015) Outcomes after Liver Resection for Hepatic Alveolar Echinococ-cosis: A Single-Center Cohort Study. World Journal of Surgery, 39, 2529-2534. [Google Scholar] [CrossRef] [PubMed]
[17] 方丹, 陈哲宇, 曾勇, 李波, 文天夫, 王文涛, 等. 泡型肝包虫病的外科治疗[J]. 中国普外基础与临床杂志, 2016, 23(5): 521-525.
[18] Buttenschoen, K., Carli, B.D., Gruener, B., Kern, P., Beger, H.G., Henne-Bruns, D., et al. (2009) Long-Term Experience on Surgical Treatment of Alveolar Echinococcosis. Langenbeck’s Archives of Surgery, 394, 689-698. [Google Scholar] [CrossRef] [PubMed]
[19] Wang, H., Lu, C., Liu, X. and Zhang, W. (2015) Metastatic and Prognostic Factors in Patients with Alveolar Echinococcosis. International Journal of Clinical and Experimental Pathol-ogy, 8, 11192-11198.
[20] Salm, L.A., Lachenmayer, A., Perrodin, S.F., Candinas, D. and Beldi, G. (2019) Surgical Treatment Strategies for Hepatic Alveolar Echinococcosis. Food and Waterborne Parasitology, 15, Article ID: e50. [Google Scholar] [CrossRef] [PubMed]
[21] 李兰娟. 肝衰竭诊疗指南[J]. 中华内科杂志, 2006(12): 1053-1056.
[22] Narita, M., Oussoultzoglou, E., Bachellier, P., Jaeck, D. and Uemoto, S. (2015) Post-Hepatectomy Liver Failure in Patients with Colorectal Liver Metastases. Surgery Today, 45, 1218-1226. [Google Scholar] [CrossRef] [PubMed]
[23] 张烈, 李延茂, 丛山. 泡型肝包虫病患者肝切除术后肝衰竭风险的预测因素研究[J]. 肝脏, 2021, 26(3): 302-304+308.
[24] 李宇, 郝杰, 杨雪, 陶杰, 田敏, 刘学民, 等. 原位肝脏移植术后胆瘘的类型与治疗[J]. 中华消化内镜杂志, 2021, 38(3): 210-216.
[25] Koch, M., Garden, O.J., Pad-bury, R., Rahbari, N.N., Adam, R., Capussotti, L., et al. (2011) Bile Leakage after Hepatobiliary and Pancreatic Surgery: A Definition and Grading of Severity by the International Study Group of Liver Surgery. Surgery, 149, 680-688. [Google Scholar] [CrossRef] [PubMed]
[26] 张胜龙, 杨先伟, 王文涛. 泡型肝包虫病肝切除术后胆漏发生危险因素分析[J]. 中华普通外科杂志, 2020, 35(1): 26-27.
[27] 徐锋, 唐斌, 刘晓琳, 贾昌俊, 赵阳, 彭松林, 等. 肝癌肝切除术围术期抗生素预防术后手术部位感染的效果评价[J]. 中国临床研究, 2018, 31(4): 451-454.
[28] 田青山, 冯少培, 郭亚民, 韩秀敏, 赵顺云, 叶成杰, 等. 高原地区体外肝切除联合自体肝移植术治疗晚期肝泡型包虫病的术后并发症及其防治策略[J]. 临床肝胆病杂志, 2021, 37(9): 2153-2160.
[29] 李瀚, 贾亚男, 贺强, 李先亮. 危重症肝病肝移植术后免疫抑制剂管理和感染的防治进展[J]. 器官移植, 2020, 11(3): 344-349.
[30] Lim, C., Dokmak, S., Farges, O., Aussilhou, B., Sauvanet, A. and Belghiti, J. (2014) Reoperation for Post-Hepatectomy Hemor-rhage: Increased Risk of Mortality. Langenbeck’s Archives of Surgery, 399, 735-740. [Google Scholar] [CrossRef] [PubMed]

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