典型文献
Enhanced recovery after surgery in perioperative period of liver transplantation
文献摘要：
End-stage liver disease(ESLD)usually causes multi-organ dys-function which increases the risk for perioperative complications and mortality[1].Liver transplantation is the only curative ther-apy for ESLD.However,liver transplantation is a major and chal-lenging surgery with a great level of complexity as a result of the interaction between donor and recipient factors.Consequently,this procedure brings a high risk of complications that significantly affect 1-year mortality and graft loss[2].In addition,immuno-suppressant applications are required postoperatively.These fac-tors make perioperative care of patients with liver disease com-plicated,and the risk of poor patient prognosis increases accord-ingly.Optimized perioperative management strategies benefit the patient rehabilitation and prolong survival.Enhanced recovery af-ter surgery(ERAS)is a multimodal and evidence-based program of care to minimize the surgical stress,reduce perioperative morbid-ity and hospital stay[3].ERAS strategies have been widely used in many fields for nearly 20 years,including colorectal,urologi-cal,orthopedics and other surgeries.However,as hepatic surgery differs significantly from colorectal or urological surgery in terms of underlying disease,comorbidities,metabolic stress response and organ-specific complications,the content of ERAS program for liver transplantation is specific.Although studies verified that ERAS is safe and effective in liver transplantation[4,5],it has not yet been widely accepted.This study summarized ERAS strategies of peri-operative liver transplantation based on evidence-based medicine,and evaluated the effectiveness on clinical application.
文献关键词：
中图分类号：
作者姓名：
Jiang-Juan H;a,Lei Geng;Zhuo-Yi Wang;Shu-Sen Zheng
作者机构：
Department of Infection Management,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;Division of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;Department of Hepatobiliary and Pancreatic Surgery,Shulan(Hangzhou)Hospital,Zhejiang Shuren University School of Medicine.Hangzhou 310022,China;NHC Key Laboratory of Combined Multi-organ Transplantation,Hangzhou 310003,China
文献出处：
引用格式：
[1]Jiang-Juan H;a,Lei Geng;Zhuo-Yi Wang;Shu-Sen Zheng-.Enhanced recovery after surgery in perioperative period of liver transplantation)[J].国际肝胆胰疾病杂志(英文版),2022(06):594-596
A类：
urologi
B类：
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AB值：
0.566802
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