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本文引用的文献

1
Modulation of hepatic perfusion did not improve recovery from hepatic outflow obstruction.肝脏灌注的调节并不能改善肝静脉流出道梗阻后的恢复情况。
BMC Pharmacol Toxicol. 2017 Jun 26;18(1):50. doi: 10.1186/s40360-017-0155-4.
2
Surgical Resection for Hepatocellular Carcinoma with Cardiac Cirrhosis after the Fontan Procedure.Fontan手术后合并心源性肝硬化的肝细胞癌的手术切除
Intern Med. 2016;55(22):3265-3272. doi: 10.2169/internalmedicine.55.6869. Epub 2016 Nov 15.
3
Conflicting Hemodynamic Goals in an Adult Patient With Fontan Physiology Presenting for Resection of a Hepatocellular Carcinoma.
J Cardiothorac Vasc Anesth. 2016 Apr;30(2):452-4. doi: 10.1053/j.jvca.2015.08.032. Epub 2015 Sep 1.
4
Surgical management of hepatocellular carcinoma after Fontan procedure.Fontan手术后肝细胞癌的外科治疗
J Gastrointest Oncol. 2015 Jun;6(3):E55-60. doi: 10.3978/j.issn.2078-6891.2015.009.
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Anesthetic implications of extended right hepatectomy in a patient with fontan physiology.
A A Case Rep. 2014 Apr 15;2(8):99-101. doi: 10.1213/XAA.0000000000000012.
6
Hepatocellular carcinoma after the Fontan procedure.Fontan手术后的肝细胞癌
N Engl J Med. 2013 May 2;368(18):1756-7. doi: 10.1056/NEJMc1214222.
7
Long-term survival, modes of death, and predictors of mortality in patients with Fontan surgery.Fontan手术患者的长期生存、死亡方式及死亡预测因素
Circulation. 2008 Jan 1;117(1):85-92. doi: 10.1161/CIRCULATIONAHA.107.738559. Epub 2007 Dec 10.
8
Effects of Pringle manoeuvre and ischaemic preconditioning on haemodynamic stability in patients undergoing elective hepatectomy: a randomized trial.普林格尔手法和缺血预处理对择期肝切除术患者血流动力学稳定性的影响：一项随机试验。
Br J Anaesth. 2004 Aug;93(2):204-11. doi: 10.1093/bja/aeh195. Epub 2004 Jun 11.
9
Hepatectomy for hepatocellular carcinoma: toward zero hospital deaths.肝细胞癌肝切除术：迈向零医院死亡
Ann Surg. 1999 Mar;229(3):322-30. doi: 10.1097/00000658-199903000-00004.

对一名接受Fontan循环手术的患者进行左肝切除术。

Left hepatectomy in a patient with a Fontan circulation.

作者信息

Lo Kevin Shing, Chan Miu-Yee, Ma Ka-Wing, Tsang Simon Hing-Yin, Cheung Tan-To, Lo Chung-Mau

机构信息

Department of Anaesthesiology, The University of Hong Kong, Hong Kong, China.

Department of Surgery, The University of Hong Kong, Hong Kong, China.

出版信息

Transl Gastroenterol Hepatol. 2018 Aug 2;3:51. doi: 10.21037/tgh.2018.07.10. eCollection 2018.

DOI:10.21037/tgh.2018.07.10
PMID:30225385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6131229/
Abstract

Patients with a Fontan circulation face the long term risk of cardiac cirrhosis and the subsequent development of hepatocellular carcinoma (HCC). A hepatectomy operation imposes significant risk on such patients as the Fontan circulation can be severely compromised. Here we present a 24-year-old woman post-Fontan operation who successfully underwent a left hepatectomy, and discuss the anaesthetic and surgical management.

摘要

接受Fontan循环手术的患者面临着发生心源性肝硬化以及随后发展为肝细胞癌（HCC）的长期风险。肝切除术对此类患者具有重大风险，因为Fontan循环可能会受到严重影响。在此，我们介绍一位接受Fontan手术后成功接受左肝切除术的24岁女性，并讨论麻醉和手术管理。