Advancements in nutritional diagnosis and support strategies during the perioperative period for patients with liver cancer  

作　　者：Xiao-Qin Li Yun Liang Chen-Feng Huang Sui-Ning Li Lei Cheng Chuan You Yao-Xia Liu Tao Wang 

机构地区：[1]Department of Hepatobiliary Surgery,The Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan Province,China [2]Department of Paediatric Surgery,The Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan Province,China [3]Department of Cardiovascular Surgery,The First Affiliated Hospital,Jinan University,Guangzhou 510632,Guangdong Province,China [4]Department of Geriatric Endocrinology,Sichuan Provincial People's Hospital,University of Electronic Science and Technology of China,Chengdu 610072,Sichuan Province,China [5]Department of Pediatric Cardiology,West China Second University Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China [6]Department of Pediatrics,Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University),Ministry of Education,Chengdu 610041,Sichuan Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第8期2409-2425,共17页世界胃肠外科杂志（英文版）（电子版）

基　　金：National Natural Science Foundation of China,No 81701888;Science and Technology Program of Sichuan Province,No.2023YFS0206;Scientific Research Project of Sichuan Cadre Health Committee,No.2022-211.

摘　　要：Liver cancer represents a grave hepatic condition and constitutes a significant global health concern.Surgical resection remains the principal therapeutic modality for liver cancer.Nevertheless,perioperative malnutrition exerts a notable impact on patients with liver cancer,emerging as an independent risk factor for disease mortality and adverse outcomes.Hence,precise nutritional diagnosis and timely nutritional support hold the potential to enhance therapeutic efficacy and quality of life for liver cancer patients.This study represents a meticulous foray into the literature,extracting data from PubMed,Web of Science,and EMBASE databases,with a focus on the past 5 years.It scrutinizes the impact of malnutrition on patients undergoing liver cancer surgery,the etiological underpinnings of malnutrition within this patient cohort,the critical assessment of perioperative nutritional status,and the strategic approaches to nutritional support.Utilizing rigorous inclusion and exclusion criteria,the amassed scholarly works are meticulously synthesized,methodically organized,and categorically elaborated upon.Ultimately,the authors propose the incorporation of a multidisciplinary nutrition management team during the perioperative period,comprising nutritionists,pharmacists,physicians,nurses,psychologists,and rehabilitation therapists,among other specialized professionals.Together,they collaborate to devise and implement personalized nutritional support plans,monitor patients’nutritional status,and make necessary adjustments as required.Through comprehensive management and intervention,improvements in the nutritional status of liver cancer patients can be achieved,thereby enhancing surgical success rates and facilitating postoperative recovery.It is believed that this manuscript will offer valuable insights to advance the nutritional management during the perioperative phase of liver cancer,aiding in ameliorating patients'nutritional status and treatment outcomes.

关 键 词：Liver cancer Nutritional diagnosis Nutritional support Perioperative period Genetic testing IMMUNONUTRITION Probiotics and gut microbiota 

分 类 号：R735.7[医药卫生—肿瘤] R735.35[医药卫生—临床医学]