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生物泵(Bio-pump)体外静脉转流技术已广泛应用于同种原位肝移植病人,但应用于侵及下腔静脉的中央型巨大肝癌及巨大肾上腺肿瘤的切除术国内文献尚未见报告.我院近期实施3例,取得满意结果,报告如下.[例1]男,54岁,因直肠癌行Miles手术后5年,B超发现右肝占位病变于1998年11月18日入院.查体一般情况好,腹部未们及包块,腹水征(-),血清总胆红质正常,白蛋白31.6g/L,AFP正常,HBsAg(-),CEA>100μg/L,CT示右肾上腺包块(直径10cm±),右肝多发占位,肿瘤浸润肝后下
Bio-pump extracorporeal venous bypass has been widely used in the same type of orthotopic liver transplantation. However, there has been no report in the domestic literature on central massive hepatocellular carcinoma and giant adrenal tumor invading the inferior vena cava. Three cases were recently implemented in our hospital and satisfactory results were obtained. The report is as follows. [Example 1] Male, 54 years old, 5 years after undergoing Miles operation for rectal cancer, B-ultrasound was found on the right hepatic space occupying lesion on November 18, 1998. Physical examination is generally good, abdominal mass and mass, ascites sign (-), normal serum total bilirubin, albumin 31.6g/L, normal AFP, HBsAg (-), CEA> 100μg/L, CT shows right adrenal gland Mass (10cm ± diameter), multiple right hepatic space occupation, tumor infiltration after liver