Guideline for perioperative coagulation management in adult liver transplant recipients (2026 edition)

Perioperative coagulopathy is frequently complex in liver transplant recipients. Strengthening perioperative coagulation management in these patients is one of the key factors for ensuring surgical success, reducing mortality, and improving recipient outcomes. At present, there is a lack of unified standards for perioperative coagulation management in liver transplant recipients across different transplant centers. Therefore,the Perioperative Management Group of Chinese Society of Organ Transplantation of Chinese Medical Association organized relevant experts to follow the principles of evidence-based medicine,combined with relevant literature,expert experience,and research results from various transplant centers,to develop the "Guideline for perioperative coagulation management in adult liver transplant recipients（2026 edition）". This guideline aims to provide recommendations for perioperative coagulation management in adult liver transplant recipients. The goal is to establish a multidisciplinary perioperative coagulation management system for these patients,optimize coagulation management,reduce complications caused by coagulation disorders,and improve post-transplant survival rates of liver transplant recipients.

肝移植受者围手术期常伴随复杂的凝血功能障碍，加强肝移植受者围手术期凝血功能管理是保证手术成功、降低病死率和改善受者预后的关键因素之一。目前，各移植中心关于肝移植受者围手术期凝血功能的管理尚缺乏统一的标准。因此，中华医学会器官移植学分会围手术期管理学组组织相关专家，遵照循证医学原则，结合相关文献、专家经验和各移植中心的研究结果，制订《成人肝移植受者围手术期凝血功能管理指南（2026版）》。本指南旨在对成人肝移植受者围手术期凝血功能管理提出建议，以期形成多学科诊疗模式下的成人肝移植受者围手术期凝血功能管理体系，优化凝血功能管理，减少因凝血功能障碍引起的并发症，提高肝移植术后生存率。.