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中华腔镜外科杂志(电子版)

中华腔镜外科杂志(电子版) ›› 2026, Vol. 19 ›› Issue (02) : 65 -76. doi: 10.3877/cma.j.issn.1674-6899.2026.02.001

指南与共识

肝切除日归手术多学科专家共识(2026版)
中国研究型医院学会微创外科学专业委员会, 中国研究型医院学会智能医学专业委员会   
  1. 100853　北京，解放军总医院第一医学中心肝胆胰外科医学部
  • 收稿日期:2026-03-20 出版日期:2026-04-30

Multidisciplinary expert consensus on same-day surgery for hepatectomy(2026 Version)

The Minimally Invasive Surgery Committee of the Chinese Research Hospital Association, The Intelligent Medicine Committee of the Chinese Research Hospital Association   

  1. Faculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese People′s Liberation Army (PLA) General Hospital, Beijing 100853, China
  • Received:2026-03-20 Published:2026-04-30
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中国研究型医院学会微创外科学专业委员会, 中国研究型医院学会智能医学专业委员会. 肝切除日归手术多学科专家共识(2026版)[J/OL]. 中华腔镜外科杂志(电子版), 2026, 19(02): 65-76.

The Minimally Invasive Surgery Committee of the Chinese Research Hospital Association, The Intelligent Medicine Committee of the Chinese Research Hospital Association. Multidisciplinary expert consensus on same-day surgery for hepatectomy(2026 Version)[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2026, 19(02): 65-76.

为探索构建中国特色基于加速康复外科理念的肝切除日归手术模式，推动我国肝切除日归手术临床实践和同质化推广应用。由中国研究型医院学会微创外科学专业委员会及中国研究型医院学会智能医学专业委员会组织肝胆外科、麻醉科及护理学等多学科专家，结合文献证据和临床实践，围绕肝切除日归手术体系建立、流程管理、患者准入、术前评估、围术期多模式管理、出院标准及随访监测等关键临床问题展开讨论，形成本专家共识。共识明确了开展肝切除日归手术医院与术者准入的条件，确立了基于病理、生理、心理和社会支持多维度的患者筛选体系，规范了手术技术要点、围术期麻醉管理、多模式镇痛止吐及早期出院评估等全流程管理策略，并明确了院外随访与紧急情况处理原则。本共识的制定为肝切除日归手术提供了安全性边界与质量保障的依据，对推动我国肝脏外科手术模式与国际接轨、释放优质医疗资源潜能、提升患者就医体验具有重要实践价值与示范意义。

关键词: 日归手术, 肝切除术, 加速康复外科, 专家共识

To explore and establish a China-specific same-day surgery model for hepatectomy based on the enhanced recovery after surgery (ERAS) concept, and to promote the clinical practice and standardized application of same-day surgery for hepatectomy in China. Organized by the Minimally Invasive Surgery Committee and Intelligent Medicine Committee of the Chinese Research Hospital Association, multidisciplinary experts in hepatobiliary surgery, anesthesiology, and nursing, integrating literature evidence with clinical practice, deliberated on key clinical issues encompassing the establishment of a same-day surgery system for hepatectomy, process management, patient selection and assessment, perioperative multimodal management, discharge criteria, and follow-up monitoring, leading to the formulation of this expert consensus. The consensus specifies the qualification requirements for hospitals and surgeons performing same-day surgery for hepatectomy, establishes a multidimensional patient selection system based on pathological, physiological, psychological, and social support dimensions, standardizes whole-course management strategies covering operative technical essentials, perioperative anesthetic management, multimodal analgesia and antiemesis, and early discharge assessment, and clarifies principles for post-discharge follow-up and emergency management. The formulation of this consensus provides a basis for safety margins and quality assurance in same-day surgery for hepatectomy, and holds significant practical value and exemplary significance for advancing the alignment of China′s liver surgery practices with international standards, unlocking the potential of high-quality medical resources, and improving patients′ experience during treatment.

Key words: Same-day surgery, Hepatectomy, Enhanced recovery after surgery, Expert consensus
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