Reyes Catherine Renee B, Garcia Yves Kristine G
Division of Pediatric Anesthesia, Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila.
Acta Med Philipp. 2025 Aug 15;59(11):105-108. doi: 10.47895/amp.vi0.11521. eCollection 2025.
The perioperative management of conjoined twins poses unique anatomic, physiologic, logistic, and even ethical challenges, necessitating a multidisciplinary team approach. We present a case of omphalopagus conjoined twins separated at the second month of life (39 2/7 weeks post-conceptual age). This paper highlights significant components in the anesthetic management of conjoined twins for separation surgery, in light of modern medicine and technological advancements.
联体双胎的围手术期管理带来了独特的解剖、生理、后勤甚至伦理挑战,需要多学科团队协作。我们报告一例在出生后第二个月(孕龄39又2/7周)接受分离手术的胸腹联体双胎病例。本文结合现代医学和技术进展,重点介绍联体双胎分离手术麻醉管理的重要环节。