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重视多学科综合治疗时代肝切除围手术期规范化管理体系的构建

夏锋 陈孝平

中国实用外科杂志2025,Vol.45Issue(10):1095-1098,4.
中国实用外科杂志2025,Vol.45Issue(10):1095-1098,4.DOI:10.19538/j.cjps.issn1005-2208.2025.10.03

重视多学科综合治疗时代肝切除围手术期规范化管理体系的构建

Focusing on establishing a standardized perioperative management system for hepatectomy in the multidisciplinary therapy era

夏锋 1陈孝平2

作者信息

  • 1. 陆军军医大学第一附属医院肝胆外科,重庆 400038
  • 2. 华中科技大学同济医学院附属同济医院肝脏外科中心,湖北武汉 430030
  • 折叠

摘要

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/multidisci-plinary team(MDT)/enhanced recovery after surgery(ERAS)

分类

医药卫生

引用本文复制引用

夏锋,陈孝平..重视多学科综合治疗时代肝切除围手术期规范化管理体系的构建[J].中国实用外科杂志,2025,45(10):1095-1098,4.

基金项目

Chongqing Natural Science Foundation(No.CSTB2023NSCQ-MSX0563) 重庆市自然科学基金项目(No.CSTB2023NSCQ-MSX0563) (No.CSTB2023NSCQ-MSX0563)

中国实用外科杂志

OA北大核心

1005-2208

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