Hepatic alveolar echinococcosis
Conditions
Interventions
Experimental group:Ligamentum teres hepatis was used intraoperatively
Control group:the great saphenous vein will be used to repair the defect hepatic outflow tract, and the same symptomatic treatment will be given after operation
Sponsors
The First Affiliated Hospital of Xinjiang Medical University
Eligibility
Sex/Gender
All
Age
14 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Liver hydatid lesions invade the first, second or third hepatic hilum and cannot be radically removed by surgery; 2. The liver hydatid lesions invaded the retrohepatic inferior vena cava with a length of 1.5cm and a circumference of 120. ; 3. The liver volume on the healthy side reaches 40% of the standard liver volume or >800g; 4. Child-Pugh grade is A or C is downgraded to B after treatment; 5. Other measures such as surgical percutaneous transhepatic cholangiography and drainage (PTCD) or endoscopic nasobiliary drainage (ENBD) for moderate to severe jaundice reduce the jaundice to mild; 6. Extrahepatic distant metastases, such as lung and brain, are controlled by drug treatment or will not be life-threatening in the near future, or extrahepatic distant metastases (such as diaphragm, omentum, kidney) can be combined with resection.
Exclusion criteria
Exclusion criteria: 1. Diffuse disseminated lesions in the whole liver; 2. Combined with other measures such as surgical drainage of obstructive jaundice, the jaundice cannot be improved; 3. Combined with moderate to severe ascites, the ascites cannot be improved by clinical intervention; 4. Severe heart, brain, kidney, lung vital organ insufficiency and combined with other tumors, mental and psychological diseases; 5. Cystic hepatic hydatid disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outflow tract stenosis; | — |
Secondary
| Measure | Time frame |
|---|---|
| Biliary leakage;bleeding;pulmonary infection;Postoperative hospital stay; | — |
Countries
China
Contacts
Public ContactTuerganaili Aji
The First Affiliated Hospital of Xinjiang Medical University
Outcome results
None listed