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1例Fontan相关肝病患者肝细胞癌切除术病例

A Case of Resection of Hepatocellular Carcinoma in a Patient With Fontan-Associated Liver Disease.

作者信息

Tokuda Satoshi, Kanemoto Hideyuki, Takagi Akihiko, Masui Yuichi, Oba Noriyuki

机构信息

Department of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, JPN.

Department of Gastroenterology, Shizuoka General Hospital, Shizuoka, JPN.

出版信息

Cureus. 2023 Jan 5;15(1):e33382. doi: 10.7759/cureus.33382. eCollection 2023 Jan.

DOI:10.7759/cureus.33382
PMID:36751192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9898843/
Abstract

The Fontan procedure (FP) is an operation used in patients with congenital single ventricle disease. The long-term prognosis after surgery has improved due to technological advances. However, the hemodynamics after FP are complicated. There are some reports of Fontan-associated liver disease (FALD) after FP. We report a case of a young woman who developed hepatocellular carcinoma due to FALD.

摘要

Fontan手术（FP）是用于先天性单心室疾病患者的一种手术。由于技术进步，术后的长期预后有所改善。然而，Fontan手术后的血流动力学情况较为复杂。有一些关于Fontan术后相关肝病（FALD）的报道。我们报告一例因FALD发生肝细胞癌的年轻女性病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/4ec182fb9378/cureus-0015-00000033382-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/c1a9daeca9f9/cureus-0015-00000033382-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/9d95d07c3d6d/cureus-0015-00000033382-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/e4235a93bfd5/cureus-0015-00000033382-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/3708421678df/cureus-0015-00000033382-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/4ec182fb9378/cureus-0015-00000033382-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/c1a9daeca9f9/cureus-0015-00000033382-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/9d95d07c3d6d/cureus-0015-00000033382-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/e4235a93bfd5/cureus-0015-00000033382-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/3708421678df/cureus-0015-00000033382-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/472e/9898843/4ec182fb9378/cureus-0015-00000033382-i05.jpg

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本文引用的文献

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Laparoscopic partial liver resection for hepatocellular carcinoma arising from Fontan-associated liver disease: a case report.腹腔镜下对Fontan相关肝病所致肝细胞癌行肝部分切除术：病例报告
Surg Case Rep. 2021 May 10;7(1):115. doi: 10.1186/s40792-021-01198-4.
2
A patient with post-Fontan operation underwent left hepatectomy and caudate lobectomy for hepatocellular carcinoma: a case report.一名接受Fontan手术后的患者因肝细胞癌接受了左肝切除术和尾状叶切除术：病例报告。
Surg Case Rep. 2020 May 19;6(1):104. doi: 10.1186/s40792-020-00866-1.
3
A case report of Fontan procedure-related hepatocellular carcinoma: pure laparoscopic approach by low and stable pneumoperitoneum.
一例与Fontan手术相关的肝细胞癌病例报告：采用低且稳定气腹的纯腹腔镜手术方法
BMC Surg. 2020 Apr 21;20(1):80. doi: 10.1186/s12893-020-00741-8.
4
Laparoscopic liver resection for hepatocellular carcinoma in Fontan-associated chronic liver disease. The first case report.法洛四联症相关慢性肝病患者肝细胞癌的腹腔镜肝切除术：首例病例报告
Int J Surg Case Rep. 2019;59:144-147. doi: 10.1016/j.ijscr.2019.05.029. Epub 2019 May 23.
5
Fontan-associated liver disease: A review.Fontan 相关肝疾病：综述。
J Cardiol. 2019 Sep;74(3):223-232. doi: 10.1016/j.jjcc.2019.02.016. Epub 2019 Mar 28.
6
Left hepatectomy in a patient with a Fontan circulation.对一名接受Fontan循环手术的患者进行左肝切除术。
Transl Gastroenterol Hepatol. 2018 Aug 2;3:51. doi: 10.21037/tgh.2018.07.10. eCollection 2018.
7
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.
8
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.
9
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.
10
Reverse Trendelenburg position is a safer technique for lowering central venous pressure without decreasing blood pressure than clamping of the inferior vena cava below the liver.与在肝脏下方夹闭下腔静脉相比，头高脚低位是一种在不降低血压的情况下降低中心静脉压的更安全技术。
J Hepatobiliary Pancreat Sci. 2015 Jun;22(6):463-6. doi: 10.1002/jhbp.229. Epub 2015 Mar 12.