关键词: 肝切除术, 围手术期, 营养治疗

Abstract:

Difficulty and key points of the nutrition therapy for liver resection during perioperative period        QIU Yu-dong. Department of Hepatobiliary and Pancreatic Surgery,the Affiliated Drum Tower Hospital of Nanjing University Medical College, Nanjing 210008，China
Abstract    The methods, approaches and preparations of perioperative nutrition therapy for hepatectomy have their particularity. The main points of its implementation are as follows: (1) Preoperative nutrition assessment and treatment. Patients with nutritional risk or malnutrition should begin the preoperative nutritional therapy. (2) Early postoperative enteral nutrition. Adhere to the "first bowel, after the intestine, intestinal insufficiency of the external supplement" principle. (3) The appropriate albumin supplementation is helpful to maintain plasma colloid osmotic pressure. (4) Perioperative fluid management. According to the fluid intake and weight changes, the appropriate use of diuretics is needed to regulate perioperative fluid balance.

Key words: liver resection, perioperative period, nutrition therapy