乾坤大挪移：肿瘤切除之前肝胆胰脾胃肠先切再复原

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MIAMI (Reuters) - Dr. Tomoaki Kato had to remove a lot more than a cancerous tumor during an unprecedented operation on a 63-year-old Florida woman earlier this month.
本月，Tomoaki Kato博士在对于一个63岁的弗洛里达的妇女身上完成了一项史无前例的手术，他不是仅仅从他身上取出了一个癌性肿瘤。

To get to the tumor, which was buried deep in Brooke Zepp's abdomen and threatened to kill her within months, the organ transplant specialist said he first had to remove her stomach, pancreas, spleen, liver and small and large intestines.
为了到达这个埋藏在BZ腹腔深部而且最近都在威胁她生命的肿瘤，这位器官移植学家说这是他首先必须从她的腹腔里取出胃，胰腺，脾脏，小肠和大肠。

The organs were chilled and preserved outside Zepp's body during a painstaking 15-hour operation at the University of Miami/Jackson Memorial Medical Center.
在Miami大学的Jackson Memotial医学中心的这个长达15小时的谨慎的手术中，病人的器官都是被冷冻而且被保存在体外的。

They were re-implanted in their normal position after the tumor -- which was about 2 inches in diameter and wrapped around Zepp's aorta and the base of two other arteries -- was removed.
这些器官在这个致敬大约2英寸的肿瘤被移除后又被重新植入病人体内的原有位置。这个肿瘤长在了病人的主动脉和其他两个动脉的起始处。

Kato said that never before have six organs been removed from a patient's abdomen to allow doctors to go after a malignant growth previously considered inoperable because of its location.
Kato说由于这个恶性肿瘤的位置，这个病人本不应手术的，这是他第一次在这种情况下将病人的6个器官从她的腹腔内取出而实施这个手术。

\"There's nothing really simple here,\" Kato, who trained as a surgeon at Osaka University in Japan, told Reuters on Monday. \"I don't want to say acrobatic but it's kind of, in a way. It's a very tricky operation.
大阪大学毕业的外科医生Kato说这个手术没有任何一个部分是可以轻易完成的，我不愿意认为这是一个惊险的表演，但是在某种程度上他又确实是。这是一个很机智的手术。

\"We've done pieces of this surgery many times but not the whole thing like this,\" said the 11-year veteran of the University of Miami Transplant Institute who led a team of doctors that operated on Zepp.
一个Miami大学移植中心的11年的医生说我们对于这个手术的许多部分已经做了很多次了，但是对于这样一个整体的过程还是第一次。

Zepp was diagnosed with leiomyosarcoma, a rare form of cancer. But Kato said the type of surgery he performed on March 4 ultimately could benefit people with more common diseases.
Zepp被诊断为平滑肌肉瘤，这是一种很罕见的癌症。但是Kato说他3月4日所实施的这项手术最终可以使病人转化为一种常见的疾病。

\"There might be a lot of applications,\" he said.

During the operation, Zepp, who was expected to be discharged from her Miami hospital this week, had many blood vessels replaced with artificial ones made of Gore-Tex.

\"She came to me out of desperation,' Kato said. \"I'm really glad it worked out well.\"
“这项手术是有很多适应症的”，他说。在整个手术中，Zepp有许多血管都被换成了由Gore-Tex公司制造的人工血管，她在这周就可以出院了。“他来的时候是带着绝望的，我为我自己完美的完成了这项工作而高兴！”

腹膜后平滑肌肉瘤有时候是很大很难切
我们国家很多腹膜后软组织肉瘤发现很晚，大的有十几二十斤！照样能切下来。