Multidisciplinary Treatment for Hyperbilirubinemia after Extended Hepatectomy in a Patient with Multiple Metastatic Liver Cancer.
スポンサーリンク
概要
- 論文の詳細を見る
We found that multidisciplinary treatment was effective in hyperbilirubinemia after extended hepatectomy. In a 58-year-old man undergoing sigmoidectomy for sigmoid colon cancer, a metastatic liver tumor was found in all segments but S1 and S5 of the liver. Staged hepatectomy was conducted to remove all segments but these two. The patient's fever rose and hyperbilirubinemia appeared postoperatively, and then he suffered liver failure. Methicillin-resistant <I>Staphylococcus epidermidis</I> and <I>Enterococcus faecalis</I> were detected from a blood culture. A liver biopsy disclosed sinusoidal fibrosis. The remnant liver volume increased to 96% of the preoperative volume 43 days after the second hepatectomy. Even after the infection was successfully controlled, the hyperbilirubinemia still continued. After the treatment with hyperbaric oxygenation (HBO) and the administration of ursodeoxycholic acid (UDCA), steroids, and phenobarbital, the total bilirubin level decreased. Hypoxia of hepatocytes may have been improved by the HBO, and the cholagogic function also improved by the steroids and UDCA.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
- A Case of Traumatic Injury of the Retrohepatic Inferior Vena Cava with Severe Liver Rupture.
- Cytoprotective Action of Co-enzyme Q10 and Ulinastatin on the Ischemic Damage of the Liver Following in Vivo Cold Infusion
- A Case Report of Lesser Omental Cyst.
- The Significance of Resection Range and Surgical Margin for Hepatocellular Carcinomas.
- Post transfusion hepatitis in heapatectomized patients.