- Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
ZHANG Weiyi,
Email: zhangweiyi@wchscu.cn
We reviewed the research progress of anesthesia in hepatic echinococcosis surgery in recent years, including the key technologies, practical experience, and research progress of anesthesia in hepatic echinococcosis surgery, so as to guide clinical practice. Firstly, in the selection of anesthesia, general anesthesia combined with epidural block or regional nerve block was recommended to improve surgical safety and patient comfort. At the same time, the importance of intraoperative continuous monitoring, including key indicators such as hemodynamics and respiratory function, was emphasized, and transesophageal echocardiography and brain function monitoring techniques were introduced to optimize anesthesia management. Finally, the concept of enhancend recovery after surgery was promoted, and measures such as preoperative optimization, intraoperative heat preservation, refined fluid management, and postoperative analgesic management were implemented to promote the rapid recovery of patients. At the same time, some challenges and unsolved problems in the current research also were pointed out, such as complex case evaluation, complication prevention, and teamwork, etc., which need to be further studied in the future to optimize the anesthesia strategy.
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- 2. Brunetti E, Kern P, Vuitton DA, et al. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop, 2010, 114(1): 1-16.
- 3. Berto CG, Liou P, Coyle CM, et al. Surgical management of cystic echinococcosis of the liver. Curr Opin Infect Dis, 2023, 36(5): 348-352.
- 4. Wan L, Wang T, Cheng L, et al. Laparoscopic treatment strategies for liver echinococcosis. Infect Dis Ther, 2022, 11(4): 1415-1426.
- 5. Bresson-Hadni S, Koch S, Beurton I, et al. Primary disease recurrence after liver transplantation for alveolar echinococcosis: long-term evaluation in 15 patients. Hepatology, 1999, 30(4): 857-864.
- 6. Zhang T, Li B, Liu Y, et al. Risk factors associated with echinococcosis in the general Chinese population: a meta-analysis and systematic review. Front Public Health, 2022, 10: 821265. doi: 10.3389/fpubh.2022.821265.
- 7. 苟棋玲. 高原肺动脉高压危险因素及对心脏结构功能影响研究. 成都: 四川大学, 2021.
- 8. Liu JJ, Sun YM, Xu Y, et al. Pathophysiological consequences and treatment strategy of obstructive jaundice. World J Gastrointest Surg, 2023, 15(7): 1262-1276.
- 9. 陈欣, 陈琳. 肝硬化心肌病发病机制与临床相关性研究现况. 肝脏, 2023, 28(1): 121-124.
- 10. Liu H, Jayakumar S, Traboulsi M, et al. Cirrhotic cardiomyopathy: Implications for liver transplantation. Liver Transpl, 2017, 23(6): 826-835.
- 11. 郭潇潇, 张抒扬. 心脏包虫病的诊治. 中华内科杂志, 2011, 50(12): 1061-1062.
- 12. Gómez R, Moreno E, Loinaz C, et al. Diaphragmatic or transdiaphragmatic thoracic involvement in hepatic hydatid disease: surgical trends and classification. World J Surg, 1995, 19(5): 714-719.
- 13. Agudelo Higuita NI, Brunetti E, McCloskey C. Cystic echinococcosis. J Clin Microbiol, 2016, 54(3): 518-523.
- 14. León-Velarde F, Maggiorini M, Reeves JT, et al. Consensus statement on chronic and subacute high altitude diseases. High Alt Med Biol, 2005, Summer,6(2): 147-157.
- 15. 祁生贵, 吴天一. 慢性高原病诊断标准及相关研究. 高原医学杂志, 2015, 25(4): 1-11.
- 16. Villán González A, Pérez Pariente JM, Barreiro Alonso E. Obstructive jaundice secondary to a hepatic hydatid cyst. Rev Esp Enferm Dig, 2018, 110(11): 741-742.
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