Amin Annie, Lane Jason, Cutter Thomas
Department of Anesthesiology, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA.
Department of Anesthesiology, Vanderbilt University Medical Center, 1301 Medical Center Drive, 4648 TVC, Nashville, TN 37232, USA.
Anesthesiol Clin. 2017 Dec;35(4):611-615. doi: 10.1016/j.anclin.2017.07.006.
The advent of radiology image-guided tumor ablation procedures has opened up a new era in minimally invasive procedures. Using CT, MRI, ultrasound, and other modalities, radiologists and surgeons can now ablate a tumor through percutaneous entry sites. What traditionally was done in an operating room via large open incisions, with multiple days in the hospital recovering, is now becoming an outpatient procedure via these new techniques. Anesthesiologists play a critical role in optimizing outcome in these patients. Knowledge by anesthesiologists of procedural goals, technology used, and inherit safety concerns of anesthetizing patients in the radiology suite are all critical to patients and proceduralists.
放射影像引导下的肿瘤消融手术的出现开启了微创治疗的新时代。借助CT、MRI、超声及其他方式,放射科医生和外科医生如今能够通过经皮穿刺进入点来消融肿瘤。过去在手术室通过大的开放切口进行手术,患者需住院多天恢复,而现在通过这些新技术正逐渐成为门诊手术。麻醉医生在优化这些患者的治疗效果方面发挥着关键作用。麻醉医生了解手术目标、所使用的技术以及在放射科为患者实施麻醉时固有的安全问题,这对患者和手术医生而言都至关重要。