《2025年欧洲肝病学会临床实践指南：肝硬化和晚期慢性肝病患者的肝外腹部手术》摘译

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关键词：肝硬化；晚期慢性肝病；欧洲；诊疗准则基金项目：河南省重点研发专项（231111313500）

An excerpt ofEASL Clinical Practice Guidelines on extrahepatic abdominal surgery in patients with cirrhosis and advanced chronic liverdisease（2025）

ZHANG Suting1，2.3，4，LIUShengyan l，2，3，4 ， DANG Xiaowei ，2.3，4

1.DepartmentofHepatobiliarndancreaticSurgeryheFstAfliatedHospitalofZhengzhouUniversityZhengzho405， China;2.HenanProvinceEngineeringResearchCenterofMinimalyIvasiveDiagnosisandTreatmentofHepatobiliaryandPancreatic Diseases，Zhengzhou450o52，China；3.Budd-Chiari SyndromeDiagnosisandTreatment CenterofHenan Province，Zhengzhou 450052，China;4.KeyLaboratoryofPrecisionDiagnosisand Treatmentin General Surgical（HepatobiliaryandPancreatic） Diseases of Health Commission of Henan Province，Zhengzhou 45oo52，China

Corresponding author： DANG Xiaowei，dangxw1001@zzu.edu.cn （ORCID： 0000-0001-7940-6385）

Abstract：OnMayO25，European Associationfor theStudyofthe Liverpublished Clinical PracticeGuidelinesonextrahepatic abdominalsurgeryinpatientswith cirrhosisandadvancedchronic liverdisease.Theguidelinessystematicallelaborateonthe preoperative assssment，various surgicalindications，andprioperativemanagementofpatients withcirhosis oradvancedchronic liverdiseaseundergoing extrahepaticsurgery，inordertoprovidecomprehensiverecommendationsforpreoperativeassessmentand perioperative managementinpatientswithcirrhosisandadvanced chronic liverdiseasewho havesurgicalindications.This article makes an excerpt of the methodology and key recommendations of the guidelines.

KeyWords：Liver Cirrhosis；Advanced Chronic Liver Disease；Europe;Practice Guidelines

Research funding：Henan Provincial Key Research and Development Project （231111313500）

肝硬化患者行肝外腹部手术具有较高的临床风险，围手术期易出现慢加急性肝衰竭（ACLF），因此手术十预需要进行仔细的风险评估和制定个体化治疗策略。（剩余5087字）