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肝肿瘤切除术后手术复杂的肝功能衰竭患者行两阶段肝移植：病例报告。

Two-stage liver transplantation in a surgically complicated liver failure patient after hepatic tumor resection -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Samsung Seoul Hospital, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2010 Nov;59(5):348-52. doi: 10.4097/kjae.2010.59.5.348. Epub 2010 Nov 25.

DOI:10.4097/kjae.2010.59.5.348
PMID:21179299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2998657/
Abstract

Two-stage liver transplantation, involving a total hepatectomy with a temporary portocaval shunt followed by liver transplantation, requires intensive perioperative care, especially during the prolonged anhepatic period. The pathophysiology and management of this prolonged anhepatic state is not fully elucidated and the proper management during this period is a great challenge to clinicians in the intensive care unit and anesthesiologists. We report a case and management of a total hepatectomy with a temporary portocaval shunt followed by living-donor liver transplantation in a patient with a surgically complicated liver failure after a hepatic tumor resection.

摘要

两阶段肝移植，包括肝切除加临时门腔分流术，然后进行肝移植，需要强化围手术期护理，特别是在长时间无肝期。该长时间无肝期的病理生理学和处理方法尚未完全阐明，在此期间的正确处理对重症监护病房的临床医生和麻醉师是一个巨大的挑战。我们报告了 1 例肝肿瘤切除术后手术相关肝衰竭患者行肝切除加临时门腔分流术，然后进行活体供肝肝移植的病例及处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0387/2998657/ef84a0b7e8f8/kjae-59-348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0387/2998657/ef84a0b7e8f8/kjae-59-348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0387/2998657/ef84a0b7e8f8/kjae-59-348-g001.jpg

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Two-stage liver transplantation in a surgically complicated liver failure patient after hepatic tumor resection -A case report-.肝肿瘤切除术后手术复杂的肝功能衰竭患者行两阶段肝移植：病例报告。
Korean J Anesthesiol. 2010 Nov;59(5):348-52. doi: 10.4097/kjae.2010.59.5.348. Epub 2010 Nov 25.
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引用本文的文献

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Prolonged Anhepatic State as a Bridge to Retransplantation: A Challenging Case of a 35-Year-Old Male Liver Transplant Patient with a Temporary Portacaval Shunt.延长无肝期作为肝移植桥接：一例 35 岁男性肝移植患者伴临时门腔分流术的挑战性病例
Am J Case Rep. 2023 Dec 27;24:e941933. doi: 10.12659/AJCR.941933.

本文引用的文献

1
Practical management of acute liver failure in the Intensive Care Unit.重症监护病房中急性肝衰竭的实际管理
Curr Opin Crit Care. 2009 Apr;15(2):163-7. doi: 10.1097/MCC.0b013e3283293114.
2
Hemodynamic improvement as an additional parameter to evaluate the safety and tolerability of the molecular adsorbent recirculating system in liver failure patients.血流动力学改善作为评估分子吸附再循环系统在肝衰竭患者中安全性和耐受性的一项额外参数。
Transplant Proc. 2008 Jul-Aug;40(6):1925-8. doi: 10.1016/j.transproceed.2008.05.077.
3
Anesthetic management of hepatic transplantation.
肝移植的麻醉管理
Curr Opin Anaesthesiol. 2008 Jun;21(3):391-400. doi: 10.1097/ACO.0b013e3282ff85f4.
4
Total hepatectomy and liver transplantation as a two-stage procedure for toxic liver: case reports.全肝切除术和肝移植作为中毒性肝病的两阶段治疗方法：病例报告
Transplant Proc. 2008 Apr;40(3):814-6. doi: 10.1016/j.transproceed.2008.02.043.
5
Prolonged anhepatic state after early liver graft removal.早期肝移植切除术后的长时无肝状态。
Hepatogastroenterology. 2007 Oct-Nov;54(79):2109-12.
6
Modifications of intracranial pressure after molecular adsorbent recirculating system treatment in patients with acute liver failure: case reports.分子吸附循环系统治疗急性肝衰竭患者后颅内压的变化：病例报告
Transplant Proc. 2007 Jul-Aug;39(6):2042-4. doi: 10.1016/j.transproceed.2007.05.061.
7
Complications and use of intracranial pressure monitoring in patients with acute liver failure and severe encephalopathy.急性肝衰竭合并严重脑病患者颅内压监测的并发症及应用
Liver Transpl. 2005 Dec;11(12):1581-9. doi: 10.1002/lt.20625.
8
Living related liver retransplantation in a 6-month-old child after 60 hours of anhepatic phase following hepatectomy of thrombosed primary liver graft.在对发生血栓形成的原发性肝移植进行肝切除术后，一名6个月大儿童经历60小时无肝期后进行的活体亲属肝再次移植。
Transplant Proc. 2001 Jun;33(4):2497-8. doi: 10.1016/s0041-1345(01)02076-0.
9
Bioartificial liver support.生物人工肝支持
J Hepatobiliary Pancreat Surg. 2001;8(1):1-15. doi: 10.1007/s005340170045.
10
Intensive care during prolonged anhepatic state after total hepatectomy and porto-caval shunt (two-stage procedure) in surgical complications of liver transplantation.肝移植手术并发症中，在全肝切除和门腔分流术（两阶段手术）后长时间无肝期的重症监护。
Hepatogastroenterology. 2000 Sep-Oct;47(35):1343-6.