加速康复外科优化重型肝炎肝移植围手术期管理临床实践的专家共识

Expert consensus on the optimization of perioperative management of liver transplantation for severe hepatitis by enhanced recovery after surgery

为了更好地将加速康复外科(ERAS)的理念用于优化重型肝炎的肝移植围手术期管理,达到减少并发症、促进患者快速康复的目的,中国医师协会器官移植分会移植免疫学组、中华医学会外科学分会手术学组、广东省医师协会器官移植医师分会组织专家制订了《加速康复外科优化重型肝炎肝移植围手术期管理临床实践的专家共识》。该共识从ERAS优化重型肝炎肝移植术前、术中、术后治疗策略3个方面,总结各移植中心的临床经验,提出相应的专家共识,希望为临床优化重型肝炎肝移植围手术期管理提供参考方案。

In order to apply the concept of enhanced recovery after surgery（ ERAS） in the optimization of perioperative management of liver transplantation for severe hepatitis,reduce complications,and promote patients＇fast recovery,Study Group of Transplantation Immunology,Society of Organ Transplantation,Chinese Medical Doctor Association,Study Group of Surgery,Chinese Society of Surgery,Chinese Medical Association,and Society of Organ Transplantation,Guangdong Medical Doctor Association have developed Expert consensus on the optimization of perioperative management of liver transplantation for severe hepatitis by enhanced recovery after surgery. This consensus summarizes the clinical experience in each transplantation center from the perspective of the role of ERAS in the optimization of preoperative,intraoperative,and postoperative treatment strategies for liver transplantation for severe hepatitis and puts forward related expert consensus,in order to provide a reference for clinical optimization of perioperative management of liver transplantation for severe hepatitis.