《肝脏切除术围手术期多学科临床管理指南（2025版）》的发布是肝脏外科领域的里程碑事件。该指南针对当前肝切除术后并发症发生率仍较高（15%~50%）的挑战，旨在构建多学科综合治疗时代的规范化管理体系。其核心亮点在于首次将多学科综合治疗协作组模式提升至核心地位，全面深化了从术前评估、术中管理到术后康复的全流程精细化管控。同时，创新性引入“预康复”理念，通过术前运动、营养和心理干预主动优化病人状态。指南整合了加速康复外科理念与最新循证证据，为降低手术风险、改善病人预后提供了权威且实用的系统指导。
Abstract
The release of ‘Perioperative Multidisciplinary Clinical Management Guidelines for Liver Resection (2025 Edition)’ marks a milestone in hepatobiliary surgery. Addressing the ongoing challenge of relatively high complication rates following liver resection (15%-50%), these guidelines aim to establish a standardized management system in the era of multidisciplinary team (MDT) care. A core highlight is the elevation of MDT collaboration to a central position for the first time, comprehensively deepening the fine-grained control of the entire process from preoperative assessment, intraoperative management to postoperative rehabilitation. Innovatively, the guidelines introduce the concept of prehabilitation, optimizing patients condition proactively through preoperative exercise, nutritional, and psychological interventions. Integrating enhanced recovery after surgery (ERAS) principles with the latest evidence-based evidence, they provide authoritative and practical systematic guidance for reducing surgical risks and improving patient outcomes.
关键词
肝切除术 /
围手术期 /
多学科综合治疗协作组 /
加速康复外科
Key words
hepatectomy /
perioperative period /
multidisciplinary team (MDT) /
enhanced recovery after surgery (ERAS)
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参考文献
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