Application of hepatic lobe hyperplasia techniques in the treatment of advanced hepatic alveolar echinococcosis: a single-centre experience

• Published in: BMC surgery 2022-12, Vol.22 (1), p.415-415, Article 415
• Main Authors: Guo, Qiang, Wang, Maolin, Zhong, Kai, Li, Jialong, Jiang, Tiemin, Ran, Bo, Shalayiadang, Paizula, Zhang, Ruiqing, Tuergan, Talaiti, Aji, Tuerganaili, Shao, Yingmei
• Format: Article
• Language: English
• Subjects: Abdomen; Alanine; Alanine transaminase; Albumins; Alveoli; Aspartate; Aspartate aminotransferase; Bilirubin; Care and treatment; Catheters; Complications; Echinococcosis; Echinococcosis, Hepatic - surgery; Embolization; Future liver remnant volume; Hepatectomy; Hepatic alveolar echinococcosis; Hepatitis; Humans; Hyperplasia; Lesions; Liver; Medical colleges; Medical imaging; Medical research; Medicine, Experimental; Methods; Patients; Portal vein; Retrospective Studies; Selective portal vein embolization; Statistics; Surgery; Transaminases; Two-stage hepatectomy; Veins & arteries; γ-Glutamyltransferase
• ISSN: 1471-2482; 1471-2482
• DOI: 10.1186/s12893-022-01864-w

This study was designed to investigate clinical efficiency and application indications of hepatic lobe hyperplasia techniques for advanced hepatic alveolar echinococcosis (AE) patients. A retrospective case series covering 19 advanced hepatic AE patients admitted to the First Affiliated Hospital of Xinjiang Medical University from September 2014 to December 2021 and undergoing hepatic lobe hyperplasia techniques due to insufficient remnant liver volume were analyzed. Changes of liver function, lesions volume, remnant liver volume, total liver volume before and after operation have been observed. Among the patients, 15 underwent portal vein embolization (PVE). There was no statistical difference in total liver volume and lesions volume before and after PVE (P > 0.05). However, the remnant liver volume was significantly increased after PVE (P