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首页> 外文期刊>Transplant infectious disease: an official journal of the Transplantation Society >Liver transplantation with an uncommon full right hemiliver graft after hydatid cysts resection: Case report and review of the literature
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Liver transplantation with an uncommon full right hemiliver graft after hydatid cysts resection: Case report and review of the literature

机译：肝脏移植含有罕见的全右半轴承移植后囊囊肿切除：案例报告和文献审查

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Abstract Because of widespread organ shortage, the transplant community has been exploiting more and more so‐called “extended criteria” donors. In this scenario, liver grafts harboring benign tumors or large cysts represent an infrequent but potentially valuable source of viable grafts. We depict a challenging case of liver transplantation performed using a graft harboring two large Echinococcus granulosus hydatid cysts in close proximity with the hilar plate and complicated by cystobiliary communication. Although liver transplantation using grafts with hydatid cyst has been rarely reported (three published cases), our case was peculiar as one of the cysts was located close to the hilum and was ruptured into the left hepatic duct. The graft was finally accepted taking into account the low risk profile of the recipient, the good quality and size of the remnant liver parenchyma, and only after complete resection of the cysts was achieved. Although the recipient had a complication due to biliary confluence necrosis, at 10‐months follow‐up he is in good health with normal hepatic function, and a graft that could have been otherwise discarded was successfully used. The decision process along with technical and management issues are discussed.
机译：摘要由于风琴短缺，移植社区一直利用越来越多的“扩展标准”捐助者。在这种情况下，肝脏移植物患有良性肿瘤或大型囊肿代表了一种不常见但潜在的可行移植物源。我们描绘了使用疏水的移植物进行肝移植的具有挑战性的肝移植术，其含有两种大型棘球粒细胞颗粒状囊肿囊肿，与肝脏板紧密接近，并通过胱胆道通信复杂化。尽管使用带有包发虫囊肿的移植物的肝移植已经很少被报告（三种发表的病例），但我们的案例是特殊的，因为其中一个囊肿靠近Hilum，并且破裂进入左肝管中。最后考虑到接受者的低风险概况，残余肝实质的良好质量和大小，并且只在完全切除囊肿后，才能达到囊肿的良好质量和大小。虽然受体因胆道汇合坏死而具有并发症，但在10个月的后续行动中，他与正常的肝功能良好，并且可以成功地使用可能被丢弃的移植物。讨论了决策过程以及技术和管理问题。

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