活体供肝移植联合右心房血栓切除术的围手术期麻醉管理
Perioperative anesthetic management of a combined right atrial thrombectomy with living donor liver transplantation.
作者信息
Subramanian Rajkumar, Singh Shweta A, Gupta Subhash, Majhi Sanjoy Kumar, Malhotra Rajneesh
机构信息
Department of Anesthesiology, Center for Liver and Biliary Sciences, Max Super Speciality Hospital, Saket, New Delhi, India.
Department of Surgery, Center for Liver and Biliary Sciences, Max Super Speciality Hospital, Saket, New Delhi, India.
出版信息
J Anaesthesiol Clin Pharmacol. 2019 Jul-Sep;35(3):396-399. doi: 10.4103/joacp.JOACP_180_18.
Hepatocellular carcinoma (HCC) with vascular invasion is usually considered inoperable. We describe a case of HCC with vascular invasion and right atrial thrombus that was successfully down staged. Patient underwent combined right atrial thrombectomy and living donor liver transplantation (LDLT) in the same setting. Perioperative anesthesia management and perioperative concerns of two major combined procedures are discussed.
伴有血管侵犯的肝细胞癌（HCC）通常被认为无法进行手术切除。我们描述了一例伴有血管侵犯和右心房血栓形成的HCC病例，该病例成功实现了降期。患者在同一次手术中接受了右心房血栓切除术联合活体肝移植（LDLT）。本文讨论了这两种主要联合手术的围手术期麻醉管理及围手术期相关问题。
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