Best evidence summary of perioperative fluid management in hepatectomy patients with liver cancer under the enhanced recovery after surgery concept
10.3760/cma.j.cn115682-20241010-05537
- VernacularTitle:加速康复外科理念下肝癌肝切除患者围手术期液体管理最佳证据总结
- Author:
Xinlei ZHANG
1
;
Liping YANG
;
Jinfang YU
;
Zilan QIN
;
Wufeng YAO
;
Zhenfan ZHOU
;
Qi LI
Author Information
1. 兰州大学护理学院，兰州 730011
- Publication Type:Journal Article
- Keywords:
Liver cancer;
Hepatectomy;
Fluid management;
Perioperative period;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2025;31(18):2480-2487
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To comprehensively retrieve and evaluate the best available evidence on perioperative fluid management in patients undergoing hepatectomy for liver cancer, and to provide references for clinical practice.Methods:A systematic search was conducted across multiple platforms, including UpToDate, BMJ Best Practice, Guidelines International Network, National Institute for Health and Care Excellence, PubMed, Web of Science, China National Knowledge Infrastructure, and Wanfang Data, for clinical decisions, guidelines, expert consensus, systematic reviews, evidence summaries, and randomized controlled trials related to perioperative fluid management in patients undergoing hepatectomy for liver cancer. The search period was from database inception to March 13, 2024. The 2014 version of the Joanna Briggs Institute evidence pre-grading and recommendation grading system was used to classify the evidence.Results:A total of 14 articles were included: 3 clinical decision articles, 3 guidelines, 1 evidence summary, 5 expert consensuses, 1 systematic review, and 1 randomized controlled trial. A total of 27 best evidence items were extracted, covering seven aspects: principles of fluid therapy, preoperative fluid management, intraoperative fluid management, postoperative fluid management, fluid type selection, assessment and monitoring, and training and education.Conclusions:This study summarizes the best evidence on perioperative fluid management for hepatectomy in liver cancer patients and provides an evidence-based reference for clinical nursing practice. Healthcare professionals should apply the evidence in a personalized manner based on the actual clinical context to promote scientific fluid management in the perioperative period.
