The Organ Transplantation Center of Sichuan Provincial People's Hospital once again successfully performed a super-difficult surgery for a patient with advanced hepatic hydatid disease-ex vivo hepatectomy combined with autologous liver transplantation

On February 9, the Organ Transplantation Center of Sichuan Provincial People's Hospital took 14 hours to successfully implement an ultra-difficult surgery for patients with advanced hepatic hydatid disease, ex vivo hepatectomy combined with autologous liver transplantation. After surgery, the 25-year-old Tibetan young monk who had been afflicted with “bubble hepatic hydatid disease” for almost 12 years had his life threatened.

It is reported that the 25-year-old Tibetan monk “Jim” (a pseudonym) suffers from chronic illnesses. Now the lesion has invaded into the veins of the liver, bile ducts and caused severe lesions, resulting in severe jaundice in the body and a weight loss of 1.7 meters. By just over 50 kilograms, the disease has spread further to the lungs and has seriously threatened life. In January of this year, the patient had to enter the Sichuan Provincial People’s Hospital for treatment because of his illness.

According to Zhang Yu, deputy director of the Department of Organ Transplantation in Sichuan Provincial People's Hospital, China's Sichuan-Tibet area is the region with the highest number of cases of liver echinococcosis. The patients are mostly young adults. The mortality rate is about 90% within 10 years after diagnosis. The ideal treatment plan for advanced patients is to follow the precise operation without damaging the major blood vessels and biliary tracts. The 3D reconstruction of the patient can be simulated by Hisense Computer-assisted Surgery System (CAS) to help the patient's 3D digital liver. Resection of damaged liver tissue, as much as possible to retain normal liver tissue, through this excisional hepatectomy combined with autologous liver transplantation can achieve the purpose of radical resection, this is a very high technical difficulty in the domestic "hepatic hydatid" There are only a handful of doctors who can operate the operation in large domestic hospitals.

After the patient was prepared for pretreatment such as puncture and drainage of liver worms, yellowing of PTCD, liver protection, and intravenous nutrition, the attending doctor chose to perform surgery on Jim on February 9. The operation started at 10:00 in the morning and took more than 14 hours. Successfully completed, the illness that afflicted Jim for 12 years was removed. It is reported that liver transplantation is currently the only effective treatment for liver end-stage disease. Autologous liver transplantation is different from ordinary liver transplantation and does not require anti-rejection drugs after surgery. It is also very difficult to operate, with high risks and complexity. Fine and long, in addition to medical skills, it is a great test for doctors' physical strength, endurance, and willpower. With the help of the "three-dimensional reconstruction" digital liver of computer-assisted surgery system, precise surgical procedures become possible, minimizing the height The risks and uncertainties of difficult surgery. Up to now, as a high-end digital medical product in China, Hisense cas system has been introduced into more than 40 triple-A hospitals and 68 tertiary hospitals across the country, successfully treating more than 2,000 patients with hepatobiliary surgery.