Prevention of surgical site infection after liver cancer resection

• Main Authors: XU Feng, TANG Bin, DAI Chaoliu
• Format: Article
• Language: zho
• Published: Editorial Department of Journal of Clinical Hepatology 2016-11-01
• Series: Linchuang Gandanbing Zazhi
• Online Access: http://www.lcgdbzz.org/qk_content.asp?id=7839

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.