肝癌切除术后手术部位感染的预防

徐锋; 唐斌; 戴朝六; 王超; 刘晓琳

doi:10.3969/j.issn.1001-5256.2016.11.045

肝癌切除术后手术部位感染的预防

DOI: 10.3969/j.issn.1001-5256.2016.11.045

中国医科大学附属盛京医院肝胆脾外科

基金项目:

辽宁省自然科学基金(2013021068)；

详细信息

中图分类号: R735.7
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出版历程
- 出版日期: 2016-11-20

Prevention of surgical site infection after liver cancer resection

Research funding:

摘要

摘要: 手术部位感染(SSI)往往增加肝癌切除术患者住院时间和经济负担,甚至增加病死率。针对性地采取相关预防措施,有利于减少SSI的发生。介绍了SSI的相关预防措施,主要包括改善患者自身因素(如术前戒烟、控制血糖、改善营养和肝功能等),改进手术操作(如皮肤消毒、切口处理、精准肝切除、腹腔镜肝切除、肝断面处理、腹腔冲洗、引流管放置、预防肠道损伤和胆汁漏)以及预防性使用抗生素。指出肝癌切除术后发生SSI是多种危险因素联合作用的结果,预防的关键是严格把握手术指征,做到术前精确评估,术中精细操作,术后精心管理和合理使用抗生素。
- 肝肿瘤 /
- 肝切除术 /
- 外科伤口感染 /
- 综述
Abstract: Surgical site infection( SSI) often increases the length of hospital stay,economic burden,and even mortality of patients undergoing liver cancer resection. Targeted preventive measures help to reduce SSI. This article introduces the preventive measures for SSI,including improvement of patients' physical condition( such as preoperative smoking cessation,blood sugar control,and improvement of nutrition and liver function),improvement of surgical procedure( such as skin disinfection,incision management,precise liver resection,laparoscopic hepatectomy,liver section management,abdominal cavity flushing,placement of drainage tube,and prevention of intestinal injury and bile leakage),and prophylactic use of antibiotics. It is pointed out that the development of SSI after liver cancer resection is the result of multiple risk factors,and that the keys to SSI prevention include strict control of surgical indications,accurate preoperative assessment,precise intraoperative operation,careful postoperative management,and rational use of antibiotics.
- liver neoplasms /
- hepatectomy /
- surgical wound infection /
- review

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参考文献(43)

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