关键词: 加速术后康复, 肝切除术, 术前评估与准备, 预防血栓形成, 多模式麻醉镇痛, 循环和液体管理

Abstract: Enhanced recovery after surgery (ERAS) is a series of evidence-based multimodal perioperative optimization program with multidisciplinary approach, to improve clinical outcomes and accelerate the recovery process. Hepatectomy is the preferred treatment for a variety of primary and secondary liver tumors. It is associated with a high rate of postoperative morbidity and mortality. The adoption of ERAS protocols in hepatectomy, including preoperative evaluation and preparation, anti-thrombotic prophylaxis, multimodal anesthesia and analgesia, and circulation and fluid management, has been shown to decrease postoperative complications, accelerate functional recovery, and shorten hospital length of stay.

Key words: Enhanced recovery after surgery, Hepatectomy, Preoperative evaluation and preparation, Anti-thrombotic prophylaxis, Multimodal anesthesia and analgesia, Circulation and fluid management