劈离式肝移植围手术期管理专家共识(2024)  

Expert consensus of perioperative management in split liver transplantation(2024)

作　　者：中国研究型医院学会加速康复外科专业委员会 梁廷波[2] 白雪莉[3] 厉智威[3] Enhanced Recovery after Surgery Committee of Chinese Research Hospital Association;Liang Tingbo(不详;Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China)

机构地区：[1]不详 [2]浙江大学医学院附属第一医院肝胆胰外科,杭州310003 [3]浙江大学医学院附属第一医院

出　　处：《中华外科杂志》2025年第1期1-12,共12页Chinese Journal of Surgery

摘　　要：供器官短缺仍是肝移植领域的“卡脖子”问题,制约了移植学科的发展。为了有效拓展供器官的利用率,移植专家们一直在思考从技术创新上解决这个突出的问题。劈离式肝移植在一定程度能缓解这一供需矛盾,是近年来移植领域高度聚焦并应用推行的技术。但目前劈离式肝移植仍存在围手术期并发症发生率高的问题。为进一步提高劈离式肝移植围手术期管理水平,中国研究型医院学会加速康复外科专业委员会组织多个学科的相关专家,总结国内外劈离式肝移植围手术期相关的研究进展,依据循证医学原则深入论证并制定了本共识。共识从术前评估、术中操作、术后管理三个方面提出了推荐意见,以期为正开展或拟开展劈离式肝移植的中心提供参考。The donor organ shortage is still a“bottleneck”problem in the field of liver transplantation,and has been limiting the development of liver transplantation.In order to effectively expand the source of donor organs,transplant experts have also been thinking about technological innovation to solve this outstanding problem.Split liver transplantation is an effective strategy to solve the difficult problem,and it is a highly focused and applied technology in the transplantation field in recent years.However,the perioperative complication rate of split liver transplantation is still high.In order to further improve the perioperative management of split liver transplantation,the Enhanced Recovery after Surgery Committee of the Chinese Research Hospital Association organized experts from multiple disciplines and formulated the consensus to improve the perioperative management of split liver transplantation and further demonstrated and formulated this consensus according to the principles of evidence-based medicine.This consensus provides recommendations from three aspects:preoperative evaluation,intraoperative operation,and postoperative management,in order to provide reference for centers that are conducting or planning to conduct split liver transplantation.

关 键 词：肝移植 围手术期医护 劈离式肝移植 围手术期管理 共识 

分 类 号：R65[医药卫生—外科学]