Perioperative nutritional support and fluid therapy in patients with liver diseases

The prevalence of liver dysfunction and malnutrition is common among patients with obstructivejaundice or cirrhosis, the poor nutrition status in patients with indications for hepatic resection increases therisk of postoperative complications and/or mortality. Hepatic surgery significantly affects body’s metabolismand environment. Therefore, it is very important for patients with liver diseases undergoing hepatic surgeryto receive essential nutritional support and fluid therapy during perioperative period. There are severalprinciples in nutritional support and fluid therapy that surgeons need to pay attention to, for example, time,nutritional approach, fluid volume, choice of fat emulsions and amino acids. Some issues, such as albuminand plasma application, choice of crystalloid and colloid, liver protective therapy, also need further attention.