原发性肝癌肝切除术患者围手术期营养管理专家共识(2025版)

Expert consensus on perioperative nutritional management for patients undergoing hepatec-tomy for primary liver cancer (2025 edition)

  • 摘要: 肝切除术是原发性肝癌重要根治性治疗方式之一,然而围手术期营养不良可导致患者术后并发症风险增加、生存期缩短。实施围手术期营养管理可有效改善患者不良结局。为帮助临床医护人员更加科学、精准、有效地进行营养管理,中国抗癌协会肝胆肿瘤整合护理专业委员会、中国抗癌协会整合肝癌委员会牵头组织33家医院47位多学科专家制订《原发性肝癌肝切除术患者围手术期营养管理专家共识(2025版)》。该共识聚焦肝癌患者能量‑蛋白质目标的设定、肝切除术特殊人群的差异化干预策略以及特殊营养素的应用,旨在为原发性肝癌患者围手术期营养管理提供依据。

     

    Abstract: Hepatectomy is one of the important radical treatment modalities for primary liver cancer. However, perioperative malnutrition can increase the risk of postoperative complications and shorten patient survival. Implementation of perioperative nutritional management can effectively improve adverse outcomes in patients. To assist clinicians and healthcare professionals in conduc-ting nutritional management more scientifically, precisely, and effectively, the Hepatobiliary Tumor Integrated Nursing Committee of China Anti‑Cancer Association and the China Anti-Cancer Association Committee of Liver Cancer organize 47 multidisplinary experts from 33 hospitals to develop the Expert consensus on perioperative nutritional management for patients undergoing hepatectomy for primary liver cancer (2025 edition). This consensus focuses on setting energy-protein targets for liver cancer patients, differentiated intervention strategies for special populations undergoing hepatectomy, and the use of specific nutrients, aiming to provide a reference framework for the perioperative nutritional management of patients with primary liver cancer.

     

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