[Consensus on minimally invasive liver resection day surgery(2026)].

内容摘要

The integration of minimally invasive liver resection (MILR) with enhanced recovery after surgery principles has enabled the feasibility of same-day discharge liver surgery. Based on the latest evidence-based practice from domestic and international experience, this consensus systematically elaborates on admission criteria, perioperative management, and post-discharge follow-up systems for day-case MILR. The admission system emphasizes rigorous institutional and surgeon qualification review, individualized patient selection, and disease-specific surgical assessment. Perioperative management encompasses preoperative one-stop evaluation and prehabilitation, intraoperative refined techniques with multimodal analgesia, and postoperative fast-track recovery pathways. Post-discharge management establishes stratified follow-up and emergency response mechanisms. The quality control system promotes continuous improvement through core indicator monitoring. This consensus aims to provide evidence-based guidance for the standardized implementation of day-case MILR and achieve dual enhancement of healthcare efficiency and patient experience. 微创入路肝切除术（MILR）与加速康复外科理念的结合为肝切除日间化提供了可能。本共识基于国内外最新循证实践，系统阐述了MILR日间手术的准入标准、围手术期管理和出院随访体系。准入制度强调严格的机构与术者资质审核、个体化的患者筛选及病种术式评估；围手术期管理涵盖术前一站式评估与预康复、术中精细技术与多模式镇痛、术后快速康复路径；出院管理建立分层随访与应急响应机制；质量控制体系通过核心指标监测推动持续改进。本共识旨在为日间MILR的规范化开展提供循证指导，促进医疗效率与患者体验的双重提升。.