没救了？患者一度想放弃！中心医院肝胆胰外科专家巧除巨块型肝癌
本帖最后由 小稠 于 2024-6-20 17:43 编辑 <br /><br /><!----><style type="text/css">html{font-size:375%}</style><link href="https://pics.app.cnyw.net/static/publish/css/style.css?v=1605251010513" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010513"><!-- 付费贴--> <div class="preview_article "> <!----> <section class="" style="font-size: 15px; line-height: 2; letter-spacing: 2px; box-sizing: border-box; font-style: normal; text-align: justify;"><section style="font-weight: 400; color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="" style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; box-sizing: border-box;"></section></section><section class="" style="font-weight: 400; color: #3e3e3e; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;">患上“癌中之王”的肝癌</p><p style="margin: 0px; padding: 0px; box-sizing: border-box;">又是肝脏手术中</p><p style="margin: 0px; padding: 0px; box-sizing: border-box;">难度最大的尾状叶肝癌</p><p style="margin: 0px; padding: 0px; box-sizing: border-box;">还能有重获生机的机会吗？</p></section><section class="empty_paragraph" style="font-weight: 400; color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><p class="qf_image big noneditable" contenteditable="false"><img src="https://pics.app.cnyw.net/backend/20240620172641_17_FkpAUt6ZgKvR6gCGWkLUdXUaNeS_.png?watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" alt="" width="720" height="540" data-qf-thumb="https://pics.app.cnyw.net/backend/20240620172641_17_FkpAUt6ZgKvR6gCGWkLUdXUaNeS_.png?imageView2/2/w/1080|watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" data-qf-origin="backend/20240620172641_17_FkpAUt6ZgKvR6gCGWkLUdXUaNeS_.png?watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" data-qf-thumb-origin="backend/20240620172641_17_FkpAUt6ZgKvR6gCGWkLUdXUaNeS_.png?imageView2/2/w/1080|watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast"></p><p class="empty_paragraph"> </p></section><section class="" style="font-weight: 400; color: #f96e57; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">“病人可能觉得没机会了”</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">“但我们要为他创造这个机会”</strong></p></section><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">近日，义乌市中心医院肝胆胰外科团队在马涛教授（浙大一院常驻专家）的带领下，成功为一名尾状叶肝癌伴左肝静脉癌栓患者实施了腹腔镜下左半肝+左尾状叶切除术，这标志着我院腔镜肝癌手术“微创”技术再上新台阶。</p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="margin: 0px; padding: 0px; box-sizing: border-box; text-align: center;"><strong style="box-sizing: border-box;">确诊肝癌竟要“溜”</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box; text-align: center;"><strong style="box-sizing: border-box;">医生苦口婆心劝下男子</strong></p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“晴天霹雳，之前没有任何预兆。”40岁的王大哥（化名）几日前突然中上腹疼痛，一直没有缓解，经老乡介绍找到中心医院肝胆胰外科副主任医生龚安安看诊。此时，他怎么也没想到自己的肝脏已被癌细胞悄然侵袭。</p><p style="text-align: center; font-weight: 400; color: rgb(62, 62, 62); white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"></p><section style="font-weight: 400; color: #3e3e3e; margin: 10px 0%; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section class="" style="display: inline-block; vertical-align: middle; width: 50%; padding: 0px 0px 0px 5px; align-self: center; flex: 0 0 auto; box-sizing: border-box; max-width: 50% !important;"><section class="empty_paragraph" style="text-align: center; margin: 0px 0%; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; box-sizing: border-box;"></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="font-weight: 400; color: #3e3e3e;">经过一系列详细检查，龚安安发现王大哥不仅存在</span><span style="color: #fa5359;"><strong>左尾状叶巨块型肝癌</strong></span><span style="font-size: 14px; box-sizing: border-box;"><span style="font-size: 15px; box-sizing: border-box;"><span style="color: #fa5359;"><strong>，而且癌细胞已经侵犯到左肝静脉，形成了癌栓</strong></span><span style="font-weight: 400; color: #3e3e3e;">。</span></span></span></p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">面对这一突如其来的噩耗，王大哥和家人都感到无比惶恐和无助，他们知道肝癌是一种极为凶险的疾病，治疗难度极大，甚至都不抱有什么希望了。</p><section class="empty_paragraph" style="font-weight: 400; color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"></section><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“怕治不好又浪费钱，他差点跑了！我和他说有浙大一院的专家，能治！”龚安安第一时间为王大哥办理了住院手续，却迟迟没等到他住进病房，打电话被告知他已买好当晚车票准备回老家去了。得知浙大一院肝胆胰外科马涛教授常驻中心医院，王大哥重拾治疗的信心。</p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; text-align: center;"> </p><p style="margin: 0px; padding: 0px; box-sizing: border-box; text-align: center;"><strong style="box-sizing: border-box;">以根治为核心、以解剖为基础”</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box; text-align: center;"><strong style="box-sizing: border-box;">专家腹腔镜下巧除病灶</strong></p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="font-weight: 400; color: #3e3e3e;">肝尾状叶的位置极为特殊，位于肝脏的背面深部，显露困难，且周围毗邻较多重要血管，上方顶在三条肝静脉与下腔静脉之间，后方是下腔静脉，前方和下方为肝动脉、门静脉和胆管及其分支。因此，</span><span style="color: #fa5359;"><strong>肝尾状叶手术毫无疑问是肝癌手术中难度最高、风险最大的，被视为肝脏外科手术的“禁区”</strong></span><span style="font-weight: 400; color: #3e3e3e;">。</span></p><section class="empty_paragraph" style="font-weight: 400; color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><p class="qf_image big noneditable" contenteditable="false"><img src="https://pics.app.cnyw.net/backend/20240620173116_17_Fui389L-4VvpPxmomiyJ6CMbqndh.jpg?watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" alt="" width="540" height="360" data-qf-thumb="https://pics.app.cnyw.net/backend/20240620173116_17_Fui389L-4VvpPxmomiyJ6CMbqndh.jpg?imageView2/2/w/1080|watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" data-qf-origin="backend/20240620173116_17_Fui389L-4VvpPxmomiyJ6CMbqndh.jpg?watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" data-qf-thumb-origin="backend/20240620173116_17_Fui389L-4VvpPxmomiyJ6CMbqndh.jpg?imageView2/2/w/1080|watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast"></p><p> </p></section><section class="" style="font-weight: 400; color: #a0a0a0; text-align: center; font-size: 10px; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><span style="caret-color: #000000; box-sizing: border-box;"><span style="font-size: 10px; box-sizing: border-box;">▲ 马涛教授在中心医院专家门诊中</span></span></p></section><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">病情复杂，肝胆胰外科邀请马涛教授，联合血管外科、麻醉科、放射科多学科共同研讨，建议为王大哥进行左半肝+左尾状叶切除术。然而手术面临种种风险和难题，肿瘤与周围大血管毗邻关系密切，如何把肿瘤完整切除，同时又最大程度减少创伤绝对是一项艰巨的任务。</p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #fa5359;"><strong>“以根治为核心、以解剖为基础”</strong></span><span style="font-weight: 400; color: #3e3e3e;">，在制定了一整套围手术期方案计划后，团队最终商榷决定实施腹腔镜手术治疗。腹腔镜手术具有创伤小、恢复快、并发症少等优点，但由于尾状叶肝癌的特殊位置，手术难度极大，需要医生具备高超的技术和丰富的经验。</span></p><section class="empty_paragraph" style="font-weight: 400; color: #3e3e3e; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><p class="qf_image big noneditable" contenteditable="false"><img src="https://pics.app.cnyw.net/backend/20240620173214_17_FlZ3EjvKmsX_G2P2PjZe17Q0o43K.jpg?watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" alt="" width="540" height="405" data-qf-thumb="https://pics.app.cnyw.net/backend/20240620173214_17_FlZ3EjvKmsX_G2P2PjZe17Q0o43K.jpg?imageView2/2/w/1080|watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" data-qf-origin="backend/20240620173214_17_FlZ3EjvKmsX_G2P2PjZe17Q0o43K.jpg?watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" data-qf-thumb-origin="backend/20240620173214_17_FlZ3EjvKmsX_G2P2PjZe17Q0o43K.jpg?imageView2/2/w/1080|watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast"></p><p class="empty_paragraph"> </p></section><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">经过一段时间积极的抗病毒及保肝治疗后，王大哥被推入了手术室。手术开始，马涛教授与肝胆胰外科团队紧密配合，在腹腔镜引导下，探查发现肿瘤占据左肝尾状叶，大小约6cm*4cm*3cm，与第二肝门紧密粘连，术中还发现存在弥漫性小结节性肝硬化，手术难度再次增大。</p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">凭借娴熟精湛的手术技巧，手术团队小心地将周围的血管和组织分离，非常完美地切除了肿瘤，并且最大限度保留了有用的肝体积，为王大哥最大程度地保留住了肝脏功能，如此高难度手术的出血量控制在了100ml，手术圆满结束。</p><p style="text-align: center; font-weight: 400; color: rgb(62, 62, 62); white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="font-weight: 400; color: #3e3e3e;">术后，王大哥恢复情况良好，各项生命体征稳定。他感激地说：</span><span style="color: #fa5359;"><strong>“非常感谢马教授和中心医院医护人员们，是你们给予了我第二次生命，给了我很大的信心，相信在你们的精心照顾下，我会很快康复的。”</strong></span></p><p style="font-weight: 400; color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-weight: 400; color: #5f9cef; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">为什么没感觉，一查就是癌？</strong></p></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 16px 0px; box-sizing: border-box;"><section style="font-weight: 400; color: #3e3e3e; display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 0 0 0%; border-style: solid; border-width: 0px 0px 0px 6px; border-color: #56a5d7 #56a5d7 #56a5d7 #0d50c9; height: auto; padding: 0px; box-sizing: border-box;"><section style="justify-content: flex-start; display: flex; flex-flow: row; margin: 0px 0px -6px; box-sizing: border-box; transform: translate3d(-6px, 0px, 0px); -webkit-transform: translate3d(-6px, 0px, 0px); -moz-transform: translate3d(-6px, 0px, 0px); -o-transform: translate3d(-6px, 0px, 0px);"><section style="display: inline-block; vertical-align: bottom; width: auto; flex: 0 0 0%; height: auto; line-height: 0; align-self: flex-end; box-sizing: border-box;"><section style="display: inline-block; width: 0px; height: 0px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 6px 0px 0px 6px; border-color: #00cafe rgba(255, 255, 255, 0) rgba(255, 255, 255, 0); box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 0 0 auto; border-style: solid; border-width: 0px 0px 6px; border-color: #846c41 #846c41 #00cafe; line-height: 0; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="display: inline-block; width: 15px; height: 15px; vertical-align: top; overflow: hidden; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 100 100 0%; background-color: #ebf2fa; height: auto; margin: 0px -21px; padding: 20px; box-sizing: border-box;"><section class="" style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">经常听患者说，感觉没什么症状，吃嘛嘛香，身体倍棒，然后突然发现肝上有个东西，诊断就是肝癌，而且往往已到中晚期。</p></section><section style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section class="" style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">肝脏表面分布的是内脏神经，这类神经对痛觉比较迟钝，且肝脏具有非常强大的代偿功能，只要肝脏中30%-40%的肝细胞能正常工作就不会影响身体代谢。</p></section><section style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section class="" style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #fa5359;"><strong>王大哥以前不知道患有慢性乙型病毒性肝炎，这估计是他罹患肝癌的诱因。</strong></span></p></section><section class="" style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section class="" style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">肝癌的形成的原因比较复杂，发病机制尚未完全明确，可能导致的原因比如病毒性肝炎、肝硬化、黄曲霉菌毒素感染等。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section><section class="empty_paragraph"><p class="qf_image big noneditable" contenteditable="false"><img src="https://pics.app.cnyw.net/backend/20240620173424_17_FhacjffvM3CMkH-ZOhrd3cTaofm7.jpg?watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" alt="" width="1080" height="552" data-qf-thumb="https://pics.app.cnyw.net/backend/20240620173424_17_FhacjffvM3CMkH-ZOhrd3cTaofm7.jpg?imageView2/2/w/1080|watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" data-qf-origin="backend/20240620173424_17_FhacjffvM3CMkH-ZOhrd3cTaofm7.jpg?watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast" data-qf-thumb-origin="backend/20240620173424_17_FhacjffvM3CMkH-ZOhrd3cTaofm7.jpg?imageView2/2/w/1080|watermark/1/image/aHR0cDovL3BpY3MuYXBwLmNueXcubmV0L18yMDE5MDQyNTA5MTYwMF81Y2MxMGE1MDc5ZjY2LnBuZw==/dissolve/100/gravity/SouthEast"></p></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">中国是全球肝癌患者最多的国家，患者占全球肝癌患者近一半，主要是因为乙肝患病率很高。对我国肝癌患者来说，85%是由“肝炎—肝硬化—肝癌”三部曲演变而来。</p></section><section class="" style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section class="" style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">定期体检是肝癌非常重要的筛查手段，尤其是对于男性、40岁以上、有长期肝炎病史或是酗酒史、有恶性肿瘤家族史的情况，要定期检查甲胎蛋白（AFP）、肝脏超声。</p></section><section class="" style="font-weight: 400; color: #3e3e3e; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section class="" style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #2f76c3;"><strong>坚持健康的生活习惯、保持愉悦的心情、定期体检等可以有效预防肝癌的发生。如果不幸罹患肝癌，也不要灰心，及时救治可以获得最佳的治疗效果。</strong></span></p></section></section><section style="font-weight: 400; color: #3e3e3e; display: inline-block; vertical-align: top; width: auto; flex: 0 0 0%; height: auto; box-sizing: border-box;"><section style=";transform-style: flat; box-sizing: border-box; transform: perspective(0px); -webkit-transform: perspective(0px); -moz-transform: perspective(0px); -o-transform: perspective(0px);"><section style="justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box; transform: rotateX(180deg) rotateY(180deg); -webkit-transform: rotateX(180deg) rotateY(180deg); -moz-transform: rotateX(180deg) rotateY(180deg); -o-transform: rotateX(180deg) rotateY(180deg);"><section style="display: inline-block; width: auto; vertical-align: bottom; align-self: flex-end; flex: 0 0 0%; border-style: solid; border-width: 0px 0px 0px 6px; 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color: #3e3e3e; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-weight: 400; color: #3e3e3e; margin: 0.5em 0px; box-sizing: border-box;"><section class="" style="background-color: #a0a0a0; height: 1px; box-sizing: border-box;"></section></section><section class="" style="font-weight: 400; color: #a0a0a0; text-align: right; font-size: 10px; letter-spacing: 0px; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section><p style="display: none;"> </p><section class="_135editor"></section><p> </p> <!----></div> <!---->
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