The 28-year-old man's tumor reached 6 pounds, and doctors successfully removed it after he was "out of food" and lost weight.

(Health Times web reporter Yan Wei, Shanghai First People's Hospital Hu Yang)
. Rare tumors in the liver are as large as watermelons, and the remaining liver tissue is no longer able to carry the normal functioning of the body. Even if the tumor is removed, the patient's liver is not enough, and may not be able to survive. Recently, Professor Zhong Lin of hepatobiliary surgery at the Southern Precinct Clinic of Shanghai First People's Hospital, with the "secondary liver removal" program, first removed the tumor "starved thin" and then removed, for a huge rare liver fibroline tumor patients implemented a maximum precision excision.
in early July this year, 28-year-old Xiao Yang began to feel bloating, abdominal pain, breathing difficulties, sleep at night can only lie flat can not lie side. The CT test found that Xiao Yang had a huge tumor in the liver area, and the liver had been damaged to the point where it was left.
" patient's liver tumor growth rate is very fast, admitted to the hospital about 6 pounds, the volume of about 25 x 20 cm, has squeezed the chest cavity caused breathing difficulties. Professor Zhong Lin, director of hepatobiliary surgery at the Southern Pre-External Clinical Medical Center of Shanghai First People's Hospital, where Xiao Yang was treated, said. In addition, Xiao Yang also appeared in the lower extremities vein reflux disorder, blocking jaundice and other symptoms, the situation is very critical.
tumors grow rapidly in the short term and can be life-threatening and require surgery. However, normal people's liver is generally between 1500 and 2000 grams, while the residual liver tissue of the young yang is less than 400 grams. The average adult needs a minimum of 600 grams of healthy liver tissue. In this case, the tumor is removed and Xiao Yang may face death threat because the remaining liver is overwhelmed.
", "In general, liver transplantation is required if there is not enough residual liver tissue after the removal of a liver tumor." Director Zhong Lin admitted, but liver transplant surgery is not only expensive, limited liver sources, later treatment and rehabilitation also need to spend a lot of human and material resources. Considering Xiao Yang's family situation, Director Zhong Lin decided to take a different approach.
imaging examination shows that Xiao Yang's liver tumor has a complete envelope, tumor blood supply is particularly rich, according to years of experience, to eliminate the possibility of liver cell carcinoma, consider the possibility of liver fibrous layer cancer is very large, as long as the smooth removal and retention of adequate liver tissue, the patient's future quality of life is still guaranteed.
after repeated discussion, the operation is divided into two steps: first the supply of liver tumor blood vessels blocked, the tumor will stop growing or even gradually shrink after the loss of blood supply; This method is medically known as "secondary liver removal".
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team of specialists first surgically disconnected the tumor's main blood vessel. About half a month later, the small and medium blood vessels that provide blood supply to the tumor were further blocked by minimally invasive interventional therapy. After the joint intervention almost therapy, Xiao Yang's liver tumor was completely "cut off".
after more than a month of support ingestive treatment, Xiao Yang is in good health, liver tissue has grown to about 700 grams, and with the tumor shrinking, the abdominal cavity also has enough room for surgery, for the next tumor removal surgery to prepare adequately.Director Of Zhonglin and Deputy Director of Dr. Wang Bin at the same time master knife. Hospital for the
surgery day, Zhong Lin director and Deputy Director of Dr. Wang Bin at the same time the main knife, all the way responsible for the removal of tumors, all the way responsible for hemorrhage, treatment of blood vessels, "double main knife" go hand in hand.
huge tumors compress the surrounding blood vessels, causing them to become severely conterioned and extremely fragile, which can lead to the rupture of blood vessels with a small movement. From the angry blood vessels "jungle" "pull" out of the tumor, but can not touch the blood vessels of the branch, very difficult. If the main blood vessels of the liver rupture and bleed, it may not be able to protect the blood vessels, the liver that is left with little left may lose the last remaining blood supply system and ischemic necrosis, life-threatening.
, in collaboration with the surgical team, took a total of 4.5 hours to successfully remove the tumor, the main blood vessels were safely retained, precisely matched the bile ducts, and cleaned the surrounding lymph nodes.
cut off the tumor volume of about 12 x 18 cm, weighing about 5 pounds, the domestic literature has not yet been so large liver fibrosis layer cancer reports. Postoperative pathology also showed that the lymph nodes were all negative, no metastasis occurred, and the tumor was highly differentiated liver fibrosis, consistent with preoperative estimates. According to the pathological results, Xiao Yang will further carry out follow-up treatment.
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