Outcomes of patients with cirrhosis undergoing non-hepatic surgery:Risk assessment and management

被引：7
作者：
Farida Millwala
Geoffrey C Nguyen
Paul J Thuluvath
机构：
[1] Hepatology Section The Johns Hopkins University School of Medicine Baltimore MD 2105 United States
[2] Hepatology Section The Johns Hopkins University School of Medicine Baltimore MD 2105 United States
来源：
World Journal of Gastroenterology | 2007年 / 30期
关键词：
Pre-operative risk assessment; Risk stratification; Cirrhosis; Model for end-stage liver disease; Non-transplant surgery; Outcomes;
D O I：
暂无
中图分类号：
R657.3 [肝及肝管];
学科分类号：
1002 ; 100210 ;
摘要：
The reported mortality rates in patients with cirrhosis undergoing various non-transplant surgical procedures range from 8.3% to 25%. This wide range of mortality rates is related to severity of liver disease, type of surgery, demographics of patient population, expertise of the surgical, anesthesia and intensive care unit team and finally, reporting bias. In this article, we will review the pathophysiology, morbidity and mortality associated with non-hepatic surgery in patients with cirrhosis, and then recommend an algorithm for risk assessment and evidence based management strategy to optimize post-surgical outcomes.
引用
收藏
页码：4056 / 4063
页数：8
相关论文
共 20 条
  • [1] Splenectomy for thrombocytopenia in patients with hepatitis C cirrhosis
    Hayashi, Paul H.
    Mehia, Carlos
    Reimers, H. Joachim
    Solomon, Harvey S.
    Bacon, Bruce R.
    [J]. JOURNAL OF CLINICAL GASTROENTEROLOGY, 2006, 40 (08) : 740 - 744
  • [2] Laparoscopic Cholecystectomy in Cirrhotic Patients: The Role of Subtotal Cholecystectomy and Its Variants[J] . Chinnasamy Palanivelu,Pidigu Seshiyer Rajan,Kalpesh Jani,Alangar Roshan Shetty,Karuppasamy Sendhilkumar,Palanisamy Senthilnathan,Ramakrishnan Parthasarthi.Journal of the American College of Surgeons . 2006 (2)
  • [3] Transjugular Intrahepatic Portosystemic Shunt before Abdominal Surgery in Cirrhotic Patients: A Retrospective, Comparative Study[J] . Evelyne Vinet,Pierre Perreault,Louis Bouchard,Denis Bernard,Ramses Wassef,Carole Richard,Richard Létourneau,Gilles Pomier-Layrargues.Canadian Journal of Gastroenterology . 2006 (6)
  • [4] Model for end-stage liver disease (MELD) predicts nontransplant surgical mortality in patients with cirrhosis
    Northup, PG
    Wanamaker, RC
    Lee, YD
    Adams, RB
    Berg, CL
    [J]. ANNALS OF SURGERY, 2005, 242 (02) : 244 - 251
  • [5] Operative risk of total hip and knee arthroplasty in cirrhotic patients
    Cohen, SM
    Te, HS
    Levitsky, J
    [J]. JOURNAL OF ARTHROPLASTY, 2005, 20 (04) : 460 - 466
  • [6] Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients[J] . Alfredo M. Carbonell,Luke G. Wolfe,Eric J. DeMaria.Hernia . 2005 (4)
  • [7] Clinical outcome after cardiac operations in patients with cirrhosis
    Hayashida, N
    Shoujima, T
    Teshima, H
    Yokokura, Y
    Takagi, K
    Tomoeda, H
    Aoyagi, S
    [J]. ANNALS OF THORACIC SURGERY, 2004, 77 (02) : 500 - 505
  • [8] Child-Turcotte-Pugh versus MELD score as a predictor of outcome after elective and emergent surgery in cirrhotic patients
    Farnsworth, N
    Fagan, SP
    Berger, DH
    Awad, SS
    [J]. AMERICAN JOURNAL OF SURGERY, 2004, 188 (05) : 580 - 583
  • [9] Preoperative preparation of patients with advanced liver disease[J] . Richard A. Wiklund.Critical Care Medicine . 2004 (4 Su)
  • [10] Risk factors for nonhepatic surgery in patients with cirrhosis
    del Olmo, JA
    Flor-Lorente, B
    Flor-Civera, B
    Rodriguez, F
    Serra, MA
    Escudero, A
    Lledó, S
    Rodrigo, JM
    [J]. WORLD JOURNAL OF SURGERY, 2003, 27 (06) : 647 - 652
12