综述

肝切除术后的管理

Published at: 2014年第1卷第27期

WrightonLindsay J. 1 , O’BoskyKaren R. 1 , NammJukes P. 1 , SenthilMaheswari 1
1 Department of Surgery, Loma Linda University, Loma Linda, California, USA

摘要

Abstract: Hepatic resection has become the mainstay of treatment for both primary and certain secondary malignancies. Outcomes after hepatic resection have significantly improved with advances in surgical and anesthetic techniques and perioperative care. Metabolic and functional changes after hepatic resection are unique and cause significant challenges in management. In-depth understanding of hepatic physiology is essential to properly address the postoperative issues. Strategies implemented in the postoperative period to improve outcomes include adequate nutritional support, proper glycemic control, and interventions to reduce postoperative infectious complications among several others. This review article focuses on the major postoperative issues after hepatic resection and presents the current management.

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