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Fifty-five cases of hepatic alveolar echinococcosis combined with lymph node metastasis:A retrospective study

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World Journal of Gastroenterology 2024年第23期30卷 2981-2990页

作者： Yilizhati Aimaitijiang Tie-Min Jiang Ying-Mei Shao tuerganaili aji State Key Laboratory on Pathogenesis Prevention and Treatment of High Incidence Diseases in Central AsiaThe First Clinical CollegeXinjiang Medical UniversityUrumqi 830011Xinjiang Uygur Autonomous RegionChina The First Ward of Hepatobiliary and Pancreatic Surgery Tumor Hospital Affiliated to Xinjiang Medical UniversityUrumqi 830011Xinjiang Uygur Autonomous RegionChina Department of Hepatobiliary&Hydatid Diseases Digestive&Vascular Surgery CenterThe First Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830054Xinjiang Uygur Autonomous RegionChina Xinjiang Clinical Research Center for Echinococcosis and Hepatobiliary Diseases The First Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830054Xinjiang Uygur Autonomous RegionChina

BACKGROUND Lymph node metastasis is a specific type of metastasis in hepatic alveolar echinococcosis(AE).Currently,there is a scarcity of describing the clinical characteristics and lymph node metastasis rules of patients with hepatic AE combined with lymph node metastasis and its mechanism and management are still *** hepatectomy combined with regional lymph node dissection is a better *** To analyse the clinical features of hepatic AE combined with lymph node metastasis to explore its treatment and *** A total of 623 patients with hepatic AE admitted to the First Affiliated Hospital of Xinjiang Medical University from 1 January 2012 to 1 January 2022 were retrospectively ***-five patients with combined lymph node metastasis were analysed for their clinical data,diagnosis and treatment methods,follow-up efficacy,and characteristics of lymph node ***,we comparatively analysed the lymph node metastasis rates at different *** variables are expressed as frequencies and percentages,and the analysis of difference was performed using theχ2 *** Bonferroni method was used for pairwise comparisons when statistical differences existed between multiple categorical *** A lymph node metastasis rate of 8.8%(55/623)was reported in patients with hepatic AE,with a female predilection(69.1%)and a statistically significant sex difference(χ2=8.018,P=0.005).Of the 55 patients with lymph node metastasis,72.7%had a parasite lesion,neighbouring organ invasion,and metastasis stage of P3N1M0 and above,of which 67.3%,78.2%,and 34.5%of hepatic AE lesions invaded the bile ducts,blood vessels,and distant metastases,*** rates of lymph node metastasis of 16.4%,21.7%,and 34.2%were reported for a preoperative abdominal ultrasound,magnetic resonance imaging,and computed tomography *** patients were intraoperatively suspected with enlarged lymph nodes and underwent radica

关键词： Echinococcosis Radical hepatectomy Lymph node metastasis Lymph node dissection Alveolar echinococcosis Hepatic

Complex inferior vena cava reconstruction during ex vivo liver resection and autotransplantation:A case report

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World Journal of Clinical Cases 2023年第23期11卷 5602-5609页

作者： Jiayidaer Humaerhan Tie-Min Jiang tuerganaili aji Ying-Mei Shao Hao Wen Department of Hepatobiliary&Hydatid Diseases Digestive&Vascular Surgery CenterThe First Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830054Xinjiang Uygur Autonomous RegionChina State Key Laboratory of Pathogenesis Prevention and Management of High Incidence Diseases in Central AsiaThe First Clinical Medical College of Xinjiang Medical UniversityUrumqi 830054Xinjiang Uygur Autonomous RegionChina Xinjiang Clinical Research Center for Echinococcosis and Hepatobiliary Diseases First Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830054Xinjiang Uygur Autonomous RegionChina

BACKGROUND Ex vivo liver resection and autotransplantation(ELRA)is an essential approach for treating patients with end-stage hepatic alveolar echinococcosis(AE),and its surgical indications involve severe invasion of important hepatic vessels,which makes in vivo resection *** is a major step in the process of ELRA,which is extremely challenging when the invaded vessels have huge *** SUMMARY Herein,we have reported the case of a 26-year-old patient with hepatic AE in an autologous liver graft who underwent complex inferior vena cava(IVC)reconstruction using disease-free IVC,autologous portal vein fragments,and umbilical vein within the ligamentum teres *** patient showed good surgical recovery without vascular-related complications during the long-term *** We reviewed three studies that have reported complex revascularization of the *** case report and systematic review showed that the use of autologous perihepatic vessels prevents donor-area trauma,immune rejection,and other adverse *** the blood vessel is severely invaded and a single vascular material cannot repair and reconstruct the defect,ELRA may provide a safe and feasible surgical approach,which has good prospects for clinical application.

关键词： Hepatic alveolar echinococcosis Ex vivo liver resection and autotransplantation Inferior vena cava Revascularization Case report

Portal vein embolization combined with ex vivo liver resection and autotransplantation: A novel treatment strategy for end-stage and metastatic hepatic alveolar echinococcosis

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Hepatobiliary & Pancreatic Diseases International 2024年第2期23卷 210-216页

作者： Qiang Guo Mao-Lin Wang Kai Zhong Jia-Long Li Tie-Min Jiang Hao Wen tuerganaili aji Ying-Mei Shao Department of Hepatobiliary and Echinococcosis Surgery Digestive and Vascular Surgery CenterFirst Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830054China Clinical Medical Research Center of Echinococcosis and Hepatobiliary Disease of Xinjiang Uygur Autonomous Region Urumqi 830054China State Key Laboratory of Pathogenesis Prevention and Treatment of High Incidence Diseases in Central AsiaXinjiang Medical UniversityUrumqi 830054China

Alveolar echinococcosis(AE)is a lethal parasitic disease caused by Echinococcus multilocularis larvae,and more than 90%of pri-mary AE lesions occur in the *** of the affected individ-uals remain asymptomatic and the disease is often diagnosed at an advanced *** infection may spread to organs adjacent to the liver or distant locations,eventually causing end-stage multi-ple organ *** metastasis of AE is the most fatal with an inci-dence rate of 0.2%[1].

关键词： organs echinococcosis metastasis

Approaches to reconstruction of inferior vena cava by ex vivo liver resection and autotransplantation in 114 patients with hepatic alveolar echinococcosis

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World Journal of Gastroenterology 2022年第31期28卷 4351-4362页

作者： Yusufukadier Maimaitinijiati tuerganaili aji Tie-Min Jiang Bo Ran Ying-Mei Shao Rui-Qing Zhang Qiang Guo Mao-Lin Wang Hao Wen State Key Laboratory on Pathogenesis Prevention and Treatment of High Incidence Diseases in Central AsiaThe First Clinical CollegeXinjiang Medical UniversityUrumqi 830011Xinjiang Uygur Autonomous RegionChina Department of Hepatobiliary Surgery The First Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830011Xinjiang Uygur Autonomous RegionChina Xinjiang Organ Transplant Institution The First Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830011Xinjiang Uygur Autonomous RegionChina

BACKGROUND Hepatic alveolar echinococcosis(AE)is most commonly found in retrohepatic inferior vena cava(RHIVC).Ex vivo liver resection and autotransplantation(ELRA)can better realize the radical resection of end-stage hepatic AE with severely compromised hepatocaval confluences,and reconstruction of the affected ***,there is a scarcity of information regarding RHIVC reconstruction in *** To propose reasonable RHICV reconstruction strategies for ex vivo liver resection and *** We retrospectively summarized the clinical data of 114 patients diagnosed with hepatic AE who treated by ELRA in our department.A total of 114 patients were divided into three groups according to the different reconstruction methods of RHIVC:Group A with original RHIVC being repaired and reconstructed(n=64),group B with RHIVC being replaced(n=43),and group C with RHIVC being resected without reconstruction(n=7).The clinical data of patients,including the operation time,anhepatic phase,intraoperative blood loss,complications and postoperative hospital stay,were analyzed and the patients were routinely followed *** normally distributed continuous variables were expressed as means±SD,whereas the abnormally distributed ones were expressed as median and analyzed by analysis of *** curve was plotted by the Kaplan-Meier *** All patients were routinely followed up for a median duration of 52(range,12-125)*** 30 d mortality rate was 7.0%(8/114)and 7 patients died within 90 *** all subjects,the inferior vena cava(IVC)-related complication rates were 17.5%(11/63)in group A and 16.3%(7/43)in group *** stenosis was found in 12 patients(10.5%),whereas thrombus was formed in 6 patients(5.3%).Twenty-two patients had grade III or higher complications,with the complication rates being 17.2%,16.3%,and 57.1%in the three *** average postoperative hospital stay in the three groups was 32.3±19.8,26.7±18.2,and 51.3±29.4 d(P=0.03),re

关键词： Ex vivo liver resection Alveolar echinococcosis Inferior vena cava Vascular reconstruction Liver transplantation Artificial vessel

Compared efficacy of University of Wisconsin and histidine-tryptophan-ketoglutarate solutions in ex-situ liver resection and autotransplantation for end-stage hepatic alveolar echinococcosis patients

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Hepatobiliary & Pancreatic Diseases International 2019年第5期18卷 430-438页

作者： Shadike Apaer Tuerhongjiang Tuxun Tao Li tuerganaili aji Jiangduosi Payiziwula Jin-Ming Zhao Ying-Mei Shao Hao Wen State Key Laboratory of Pathogenesis PreventionTreatment of High Incidence Diseases in Central AsiaXinjiang Medical UniversityUrumqi 830011China Department of Liver Transplantation and Laparoscopic Surgery Center of Digestive and Vascular Surgerythe First Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830054China Department of Hepatobiliary and Hydatid Surgery Center of Digestive and Vascular Surgerythe First Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830054China WHO Collaborating Center for Prevention and Care Management of Echinococcosis the First Affiliated Hospital of Xinjiang Medical University and Xinjiang Center for Disease ControlUrumqi 830054China

Background: The University of Wisconsin (UW) and histidine-tryptophan-ketoglutarate (HTK) solutions are the two most frequently used liver graft preservation fluids. The present study aimed to compare their efficacy in end-stage hepatic alveolar echinococcosis patients who underwent ex-situ liver resection and autotransplantation (ELRA). Methods: A total of 81 patients received ELRA from August 2010 to March 2018. They were allocated into UW ( n = 48) and HTK groups ( n = 33) based on the type of solutions used. Demographic and operational data were retrospectively analyzed. Primary outcomes included 90-day mortality, incidence of early graft loss, primary dysfunction, and postoperative complications. Results: Demographic and operational characteristics were similarly distributed in the two groups. No statistically significant differences were observed with regard to 90-day mortality (12.77% vs. 12.12%) and early graft loss rate (8.51% vs. 9.09%) between the two groups. Patients in the UW and HTK groups showed a primary dysfunction rate of 27.66% and 27.27%, respectively. The UW group exhibited a higher incidence tendency of biliary complications, albeit with no statistical significance. Conclusions: This is the largest cohort study comparing the efficacy of the UW and HTK organ-preserving solutions in end-stage hepatic alveolar echinococcosis patients in ELRA settings. UW and HTK solutions presented similar efficacy and safety. A randomized clinical trial with larger scale is needed for further investigation in future clinical applications.

关键词： University of Wisconsin Histidine-tryptophan-ketoglutarate Liver autotransplantation Alveolar echinococcosis Efficacy

Intrabiliary rupture of hepatic hydatid cysts： results of 10 years＇ experience

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Chinese Medical Journal 2013年第7期126卷 1384-1385页

作者： tuerganaili aji Ayifuhan Ahan SHAO Ying-mei RAN Bo JIANG Tie-ming WEN Hao Department of Hepatic Hydatid and Hepatobiliary Surgery Digestive and Vascular Surgery Centre First Affiliated Hospital of Xinjiang Medical University Urumqi Xinjiang 830000 China Xinjiang Key Lab of Fundamental Medical Research and Xinjiang Hydatid Clinical Research Institute First Affiliated Hospital of Xinjiang Medical University Urumqi Xinjiang 830000 China

Intrabiliary rupture （IBR）is the most common and potentially fatal complication of Hepatic cysticechinococcosis （HCE） Early diagnosis and treatment of IBR is very important, since mortality is high when obstructio... 详细信息

关键词： intrabiliary rupture cystic echinococcosis hydatid disease diagnosis treatment

Resection of retrohepatic inferior vena cava without reconstruction for hepatic alveolar echinococcosis

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Chinese Medical Journal 2019年第13期132卷 1623-1624页

作者： Bo Ran Ying-Mei Shao Tie-Ming Jiang Rui-Qing Zhang Qiang Guo Abuduaini Abulizi Yusfu Yimiti Hao Wen tuerganaili aji Clinical Medical Research Institute The First Affiliated Hospital of Xinjiang Medical UniversityUrumqiXinjiang 830054China

To the Editor:Echinococcus multilocularis(*** is)which can cause alveolar echinococcosis(AE),mainly involve the liver.[1]AE diagnosis mainly depends on epidemiological evidence,clinical presentation,serology test results,and radiological examinations.,2]Surgery is a main treatment method.[3]We describe a case with complicated AE who underwent resection of retrohepatic inferior vena cava(RHIVC)without *** study was approved by the ethics review board of the First Affiliated Hospital of Xinjiang Medical University.

关键词： Resection of retrohepatic inferior reconstruction echinococcosis

Application of 3D reconstruction for surgical treatment of hepatic alveolar echinococcosis

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World Journal of Gastroenterology 2015年第35期21卷 10200-10207页

作者： Yi-Biao He Lei Bai tuerganaili aji Yi Jiang Jin-Ming Zhao Jin-Hui Zhang Ying-Mei Shao Wen-Ya Liu Hao Wen Liver and Laparoscopic Surgery Department Digestive and Vascular Surgery Centerthe First Affiliated Hospital of Xinjiang Medical University Medical Imaging Research Center the First Affiliated Hospital of Xinjiang Medical University

AIM: To evaluate the reliability and accuracy of threedimensional(3D) reconstruction for liver resection in patients with hepatic alveolar echinococcosis(HAE).METHODS: One-hundred and six consecutive patients with HAE underwent hepatectomy at our hospital between May 2011 and January 2015. Fifty-nine patients underwent preoperative 3D reconstruction and "virtual" 3D liver resection before surgery(Group A). Another 47 patients used conventional imaging methods for preoperative assessment(Group B). Outcomes of hepatectomy were compared between the two ***: There was no significant difference in preoperative data between the two groups. Compared with patients in Group B, those in Group A had a significantly shorter operation time(227.1 ± 51.4 vs 304.6 ± 88.1 min; P < 0.05), less intraoperative blood loss(308.1 ± 135.4 vs 458.1 ± 175.4 m L; P < 0.05), and lower requirement for intraoperative blood transfusion(186.4 ± 169.6 vs 289.4 ± 199.2 m L; P < 0.05). Estimated resection liver volumes in bothgroups had good correlation with actual graft weight(Group A: r = 0.978; Group B: r = 0.960). There was a significant higher serum level of albumin in Group A(26.3 ± 5.9 vs 22.6 ± 4.3 g/L, P < 0.05). Other postoperative laboratory parameters(serum levels of aminotransferase and bilirubin; prothrombin time) and duration of postoperative hospital stay were similar. Sixteen complications occurred in Group A and 19 in Group B. All patients were followed for 3-46(mean, 17.3) mo. There was no recurrence of lesions in Group A, but two recurrences in Group B. There were three deaths: two from cerebrovascular accident, and one from car ***: 3D reconstruction provides comprehensive and precise anatomical information for the liver. It also improves the chance of success and reduces the risk of hepatectomy in HAE.

关键词： Liver resection Hepatic alveolar echinococcosis Co

Multiple recurrent cystic echinococcosis with abdominal aortic involvement: A case report

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World Journal of Clinical Cases 2020年第14期8卷 3108-3113页

作者： Nijiati Taxifulati Xue-An Yang Xin-Feng Zhang Abudusalamu Aini Abuduaini Abulizi Xin Ma Adilai Abulati Fei Wang Ke Xu tuerganaili aji Ying-Mei Shao Ayifuhan Ahan Department of Hepatobiliary and Hydatid Disease Digestive and Vascular CenterFirst Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830054Xinjiang Uygur Autonomous RegionChina Department of Pain Management People’s Hospital of Xinjiang Uyghur Autonomous RegionUrumqi 830001Xinjiang Uygur Autonomous RegionChina

BACKGROUND Recurrent cystic echinococcosis(CE)with vital organ involvement is a challenge for ***,we report a case of aortic involvement in recurrent retroperitoneal CE lesions following primary splenic CE *** SUMMARY A 60-year-old male was admitted due to progressive abdominal pain and poor *** was diagnosed with multiple recurrent CE with abdominal aortic involvement according to preoperative *** surgical resection,major aortic bleeding accidentally occurred while dissecting the cyst,which was firmly attached to the abdominal aortic *** attempts were conducted to deal with this emergency situation and maintain *** recovery was uneventful,and 2-year follow-up showed no sign of recurrence or any other *** Radical resection of recurrent complicated CE with aortic involvement should be carefully planned and performed to prevent possible severe adverse complications,thereby improving the postoperative outcome.

关键词： Cystic echinococcosis Abdominal aorta Covered vascular stent Patient safety Hydatid disease Case report