论文部分内容阅读
目的对肝切除术后肝功能衰竭的定义、危险因素及术前评估方法进行总结。方法收集国内外关于肝切除术后肝功能衰竭的文献并做综述。结果肝切除术后肝功能衰竭的定义并不统一,目前认可度较高的是“50-50标准”和国际肝脏外科学组(International Study Group of Liver Surgery,ISGLS)标准。肝切除术后肝功能衰竭的危险因素可大体分为患者相关、肝脏相关及手术相关三类。术前评估主要是基于肝脏功能以及肝脏体积两个方面。结论肝切除术后肝功能衰竭是肝切除术后短期死亡的主要原因,术前充分评估、术中采用积极有效的手段控制出血、缩短手术时间等均可以预防或减少术后肝功能衰竭的发生。
Objective To summarize the definition, risk factors and preoperative evaluation of liver failure after liver resection. Methods The literature about liver failure after liver resection was collected and reviewed. Results The definition of liver failure after hepatectomy was not uniform. Currently, the standards of “50-50” and “International Study Group of Liver Surgery” (ISGLS) are higher. Risk factors for liver failure after hepatectomy can be roughly divided into patient-related, liver-related and surgery-related categories. Preoperative assessment is mainly based on liver function and liver volume in two aspects. Conclusions Liver failure after hepatectomy is the main cause of short-term mortality after liver resection. The preoperative assessment is sufficient. Intraoperative use of positive and effective measures to control bleeding and shorten the operation time can prevent or reduce the occurrence of postoperative liver failure .