肝脏切除术围手术期多学科临床管理指南（2025版）

Guidelines for multidisciplinary clinical management of perioperative period of hepatectomy (2025 edition)

摘要:

肝脏切除术已成为肝胆外科疾病最重要的治疗方法。肝切除术的围手术期管理与其安全性和疗效密切相关。围手术期管理包括术前、术中及术后对病人病情诊疗的系统化评估和处理，其原则和方法近年来发展较快。2017年中华医学会外科学分会肝脏外科学组发布《肝切除术围手术期管理专家共识》。在此基础之上，编审委员会梳理已有的循证医学研究证据，结合国内外众多肝脏外科中心的最新临床实践经验，组织国内相关领域多学科专家团队进行研讨、修订形成《肝脏切除术围手术期多学科临床管理指南（2025版）》。该指南涵盖肝脏切除术术前、术中和术后相关病情系统评估和处理的原则和方法，并给出具体推荐意见，旨在促进该领域临床实践的规范化和精细化，提高肝脏切除术的安全性和临床疗效，为肝脏外科相关的临床专业人员提供指导和参考。

Abstract:

Hepatectomy has become the most important treatment method for hepatobiliary diseases. The perioperative management of hepatectomy is closely related to its safety and efficacy. Perioperative management includes systematic evaluation and management of the patient′s condition before, during, and after surgery, and its principles and methods have developed rapidly in recent years. In 2017, the Group of Liver Surgery of Surgical Society of Chinese Medical Association released the "Expert consensus on perioperative management of hepatectomy". On this basis, the editorial committee has reviewed existing evidence-based medicine research evidence, combined with the latest clinical practice experience of numerous liver surgery centers at home and abroad, organized a multidisciplinary expert team in relevant fields in China for discussion, and revised to formulate the Guidelines for multidisciplinary clinical management of perioperative period of hepatectomy (2025 edition). This guideline covers a systematic assessment, treatment principles, and methods for relevant conditions before, during, and after hepatectomy, and provides specific recommendations. The revision of the guidelines aims to promote the standardization and refinement of clinical practice in this field, improve the safety and clinical efficacy of liver resection, and provide guidance and reference for clinical professionals related to liver surgery.