Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	119633
Country	China

Category	Surgery
Manuscript Type	Opinion Review
Article Title	Fluid management after hepatectomy: Pursuing precision recovery through balance
Manuscript Source	Invited Manuscript
All Author List	Feng Zhou, Hao-Ran Diao, Xiao-Xiao Zhang and Yun Jin
Funding Agency and Grant Number
Corresponding Author	Yun Jin, Associate Chief Physician, MD, Department of Hepatic-Biliary-Pancreatic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China. jinyunzeyy@zju.edu.cn
Key Words	Hepatectomy; Postoperative care; Fluid therapy; Restrictive fluid resuscitation; Goal-directed therapy; Fluid balance; Postoperative complications
Core Tip	Post-hepatectomy fluid management is critical to postoperative recovery, with the core goal of balancing adequate organ perfusion and avoidance of fluid overload. A phased, goal-directed strategy is recommended: A restrictive 0-24 hours postoperative phase with restrictive fluid resuscitation using balanced crystalloids, followed by a stable phase (> 24 hours) targeting negative fluid balance via diuretics while preserving effective systemic perfusion. Guided by dynamic monitoring of key parameters, this enhanced recovery after surgery-aligned individualized approach prevents complications like pulmonary edema and intra-abdominal hypertension, promotes liver regeneration, and optimizes key clinical outcomes for patients undergoing hepatectomy.
Citation	Zhou F, Diao HR, Zhang XX, Jin Y. Fluid management after hepatectomy: Pursuing precision recovery through balance. World J Gastrointest Surg 2026; In press

Received	2026-02-02 01:16
Peer-Review Started	2026-02-02 01:19
First Decision by Editorial Office Director	2026-02-14 07:53
Return for Revision	2026-02-14 08:35
Revised	2026-02-23 06:56
Publication Fee Transferred
Second Decision by Editor	2026-05-25 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-05-25 03:10
Articles in Press	2026-05-25 03:10
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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