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心房黏液瘤患者腹腔镜次全胃切除术的麻醉管理:一例报告

Anaesthesia Management of Laparoscopic Subtotal Gastrectomy in a Patient With Atrial Myxoma: A Case Report.

作者信息

Tay Lee Shiuan, Chan Chi Ho, Chen Xuanxuan

机构信息

Department of Anaesthesiology, Sengkang General Hospital, Singapore, SGP.

出版信息

Cureus. 2024 Sep 25;16(9):e70144. doi: 10.7759/cureus.70144. eCollection 2024 Sep.

Abstract

Atrial myxoma is a rare cardiac tumour that is associated with serious complications such as sudden cardiac death and stroke and warrants early surgical resection. We report a case of a 73-year-old male with an incidental diagnosis of left atrial myxoma undergoing general anaesthesia for laparoscopic subtotal gastrectomy, D2 lymphadenectomy, and Roux-en-Y gastroduodenectomy for a newly diagnosed pyloric tumour. Careful anaesthetic considerations and management need to be taken when undergoing non-cardiac surgery to mitigate the peri-operative complications of the left atrial myxoma. Collaborative management under a multidisciplinary team of anaesthetists, surgeons, cardiologists, and cardiothoracic surgeons is essential.

摘要

心房黏液瘤是一种罕见的心脏肿瘤,与心源性猝死和中风等严重并发症相关,需要早期手术切除。我们报告一例73岁男性病例,该患者偶然诊断为左心房黏液瘤,因新诊断的幽门肿瘤接受腹腔镜胃次全切除术、D2淋巴结清扫术和 Roux-en-Y 胃十二指肠切除术,术中接受全身麻醉。在进行非心脏手术时,需要仔细考虑麻醉并进行管理,以减轻左心房黏液瘤的围手术期并发症。麻醉师、外科医生、心脏病专家和心胸外科医生组成的多学科团队进行协作管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/177c/11503856/5f96f859cf04/cureus-0016-00000070144-i01.jpg

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