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中华肝脏外科手术学电子杂志

中华肝脏外科手术学电子杂志 ›› 2025, Vol. 14 ›› Issue (04) : 640 -645. doi: 10.3877/cma.j.issn.2095-3232.2025.04.022

所属专题： 文献；

综述

肝癌肝切除术后胃肠功能障碍的诊治和防治进展
龚财芳1, 姚娟1, 李欢1, 熊永福1,2, 赵俊宇1, 游川1,2,†()   
  1. 1637000　四川省南充市，川北医学院附属医院肝胆外科
    2637000　四川省南充市，川北医学院肝胆胰肠疾病研究所
  • 收稿日期:2025-01-15 出版日期:2025-08-10
  • 通信作者: 游川
  • 基金资助:
    国家自然科学基金青年项目(82003147); 川北医学院附属医院2023年度第二批科研发展计划项目(2022MPRW001)

Diagnosis, treatment and prevention of gastrointestinal dysfunction after hepatectomy for liver cancer

Caifang Gong1, Juan Yao1, Huan Li1, Yongfu Xiong1,2, Junyu Zhao1, Chuan You1,2,†()   

  1. 1Department of Hepatobiliary Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China
    2Institute of Hepatobiliary, Pancreatic and Intestinal Diseases, North Sichuan Medical College, Nanchong 637000, China
  • Received:2025-01-15 Published:2025-08-10
  • Corresponding author: Chuan You
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龚财芳, 姚娟, 李欢, 熊永福, 赵俊宇, 游川. 肝癌肝切除术后胃肠功能障碍的诊治和防治进展[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(04): 640-645.

Caifang Gong, Juan Yao, Huan Li, Yongfu Xiong, Junyu Zhao, Chuan You. Diagnosis, treatment and prevention of gastrointestinal dysfunction after hepatectomy for liver cancer[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(04): 640-645.

术后胃肠功能障碍是肝癌肝切除术后常见并发症，可导致经口进食延迟，营养吸收障碍，住院时间延长及医疗费用增加，甚至诱发术后肠梗阻，对患者术后康复及生活质量产生重大影响。本文就肝癌肝切除术后胃肠功能障碍的发生现状及机制、评估、预防及治疗等研究进展进行综述，为改善肝切除患者术后胃肠功能及预后提供借鉴。

关键词: 癌, 肝细胞, 腹腔镜, 肝切除术, 胃肠功能障碍

Postoperative gastrointestinal dysfunction is a common complication after hepatectomy for liver cancer. It can delay oral feeding, impair nutrient absorption, prolong the length of hospital stay and increase medical expenses, and even induce postoperative intestinal obstruction, which exerts significant impact on postoperative rehabilitation and quality of life of patients. In this article, current status, mechanism, evaluation, prevention and treatment of gastrointestinal dysfunction after hepatectomy for liver cancer were reviewed, aiming to provide reference for improving gastrointestinal function and enhancing clinical prognosis of patients after hepatectomy.

Key words: Carcinoma, hepatocellular, Laparoscopy, Hepatectomy, Gastrointestinal dysfunction
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