Nursing care of a patient undergoing an abandoned liver transplantation combined with ALPPS
10.3761/j.issn.0254-1769.2025.09.017
- VernacularTitle:1例行"废弃肝"移植联合肝脏分隔和门静脉结扎二步肝切除术患者的护理
- Author:
Yan WANG
1
;
Wenyan PAN
1
;
Lihong CHENG
1
;
Zilin ZHOU
1
;
Yancheng HU
1
;
Xiaoyun ZHANG
1
Author Information
1. 200032 上海市 复旦大学附属中山医院护理部
- Publication Type:Journal Article
- Keywords:
Liver Transplantation;
Critical Care Nursing;
Perioperative Nursing;
Hepatectomy
- From:
Chinese Journal of Nursing
2025;60(9):1128-1132
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a patient who underwent an abandoned liver transplantation combined with associating liver partition and portal vein ligation for staged hepatectomy.The main points of nursing included the establishment of a multidisciplinary team before surgery to ensure the smooth progress of the surgery,intraoperative preservation of the abandoned liver and healthcare collaboration for precise portal vein pressure monitoring,postoperative implementation of capacity management for ensuring perfusion of abandoned liver,dynamic monitoring of abandoned liver hyperplasia and prevention of small liver syndrome,individualized immune management and prevention of acute rejection reactions,nutritional support and exercise rehabilitation,strengthening protection and isolation strategies to comprehensively reduce the risk of infection.After treatment and nursing,the patient was discharged on the 28th of surgery.