Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure
10.3969/j.issn.1674-7445.2020.05.001
- VernacularTitle:成人慢加急性肝衰竭肝移植围手术期管理专家共识
- Collective Name:Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association;Enhanced Recovery of Liver Transplantation Group of Enhanced Recovery after Surgery Committee of Chinese Research Hospital Society
- Publication Type:Research Article
- Keywords:
Liver transplantation;
Acute-on-chronic liver failure;
Chronic liver disease;
Operation timing;
Organ protection;
Nutritional support;
Infection prevention and control;
Rehabilitation exercise
- From:
Organ Transplantation
2020;11(5):533-
- CountryChina
- Language:Chinese
-
Abstract:
Acute-on-chronic liver failure (ACLF) is a syndrome of acute liver failure complicated by other organ failure on the basis of chronic liver disease. Liver transplantation is the only effective treatment for ACLF. There is still discussion space on the optimal operation timing of ACLF, how to reduce postoperative infection rate, improvement of nutrition and body function. Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association and Enhanced Recovery of Liver Transplantation Group of Enhanced Recovery after Surgery Committee of Chinese Research Hospital Society organized relevant experts to discuss the perioperative management of ACLF liver transplantation from the operation timing, organ protection, nutritional support, infection prevention and control, rehabilitation exercise and regulation of the internal environment, etc. And the expert consensus was developed for the reference of clinicians.