国际肝移植学会《肝移植手术加速康复共识建议》要点解读
Interpretation on the Consensus Recommendations of Enhanced Recovery for Liver Transplantation by the International Liver Transplantation Society
余欢 1王小梅 1王瑞 1彭国庆 1龚莉雲1
作者信息
- 1. 重庆医科大学附属第二医院肝胆外科, 重庆 400060
- 折叠
摘要
肝移植作为终末期肝病唯一有效的治疗手段,具有手术复杂、时间长、创伤大等特点,患者术后恢复面临感染、腹腔出血、排斥反应等诸多挑战,直接影响康复质量.加速术后康复(enhanced recovery after surgery,ERAS)作为一种新型围术期管理策略,可有效促进患者术后康复,目前已广泛应用于外科各领域,但目前我国肝移植领域尚缺乏全面、科学的ERAS共识方案.2022 年12 月,国际肝移植学会发布了首个《肝移植手术加速康复共识建议》,对接受死亡后器官捐献和活体器官捐献的肝移植受者、活体肝移植供者ERAS策略提出建议.本文对该共识要点进行详细解读,以期为我国肝移植患者围术期ERAS实践提供参考.
Abstract
Liver transplantation,the only effective treatment for end stage liver disease,is characterized by complicated surgery,long surgery time,and high trauma.Patients may experience a variety of difficulties following surgery,including infection,abdominal bleeding and rejection,all of which directly affect the quality of rehabilitation.Enhanced Recovery After Surgery(ERAS),a novel perioperative management strategy,can effectively promote postoperative recovery of patients and has been extensively implemented in various fields of surgery.However,there are no scientific and universal ERAS protocols in the fields of liver transplantation in China.The first Consensus Recommendations of Enhanced Recovery for Liver Transplantation was issued by the International Liver Transplantation Society in December 2022,offering recommendations about ERAS strategies for liver transplantation recipients who receive deceased and living organ donations,and for living donors of liver transplantation.This paper provides a detailed interpretation of the key points to offer a practical reference for domestic liver transplantation perioperative ERAS management.
关键词
肝移植/加速术后康复/围术期管理/共识/国际肝移植学会Key words
liver transplantation/enhanced recovery after surgery/perioperative care/consensus/International Liver Transplantation Society引用本文复制引用
基金项目
重庆市科卫联合医学科研项目(2020FYYX248)
重庆医科大学附属第二医院"宽仁英才"项目(kryclj-2108)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据