Abstract:

Surgical stress and organs injury in hepatobiliary surgery         WANG Jie, SUN Jian. Department of Hepatobiliopancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou510120, China
Corresponding author:WANG Jie,E-mail: sumsjw@163.com
Abstract    With advances in hepatobiliary surgery technology, dangers caused by the surgery itself has been significantly reduced, but the impairment caused by surgical stress and excessive surgical stress is becoming prominent issue affecting the treatment and recovery of patients. The reduction of surgical stress response through a variety of perioperative control measures has become an important part of clinical practice in hepatobiliary surgery. But the mechanism of surgical stress is not yet fully understood, and there are still many gaps and controversy in the treatment of excessive stress, therefore, more basic and clinical researchs are needed to demonstrate and explore this issue.

Key words: hepatobiliopancreatic, perioperative period, surgical stress, organs injury

摘要：

随着肝胆外科技术的不断进步，手术本身所致的危险性已显著降低，但由手术应激和过度应激带来的危害日益成为影响肝胆外科病人治疗效果和康复的突出问题。通过围手术期的各种调控措施控制手术应激反应进而影响疾病的预后和转归已成为肝胆外科临床诊疗中的重要内容。但目前手术应激的机制尚不完全明了，对过度应激的处理和调控仍存在较多的空白和争议。因此，需要更多的基础和临床研究来论证和探索。

关键词: 肝胆外科, 围手术期, 手术应激, 脏器损伤