Surgical Clearance for the Patient with Chronic Liver Disease

被引：6

作者：

Muir, Andrew J. ^{[1
]}

机构：

[1] Duke Univ, Sch Med, Div Gastroenterol, Duke Clin Res Inst, Durham, NC 27715 USA

来源：

CLINICS IN LIVER DISEASE | 2012年 / 16卷 / 02期

关键词：

End-stage liver disease; Hepatocellular carcinoma; Liver cirrhosis; Portal hypertension; Postoperative complications; HEPATOCELLULAR-CARCINOMA; CIRRHOTIC-PATIENTS; CARDIAC-SURGERY; ABDOMINAL OPERATIONS; ALCOHOLIC HEPATITIS; BARIATRIC SURGERY; RISK-FACTORS; TRANSPLANTATION; MANAGEMENT; RESECTION;

D O I：

10.1016/j.cld.2012.03.008

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Patients with chronic liver disease face greater risk of perioperative morbidity and mortality, with the greatest risk among patients with cirrhosis. Both the Child-Pugh score and the Model for End-Stage Liver Disease have been evaluated as predictors of postoperative mortality. Other comorbidities, age, and American Society of Anesthesiologists physical status classification are also important predictors of these outcomes. In patients with liver disease, elective surgeries should be delayed to allow complete evaluation of the severity of liver disease, including the role of transplantation in the event of hepatic decompensation postoperatively.

引用

页码：421 / +

页数：14

共 45 条

[1] ELTROMBOPAG IN CHRONIC LIVER DISEASE PATIENTS WITH THROMBOCYTOPENIA UNDERGOING AN ELECTIVE INVASIVE PROCEDURE: RESULTS FROM ELEVATE, A RANDOMISED CLINICAL TRIAL [J].

Afdhal, N. ;

Giannini, E. ;

Tayyab, G. N. ;

Mohsin, A. ;

Lee, J. W. ;

Andriulli, A. ;

Jeffers, L. ;

McHutchison, J. ;

Campbell, F. ;

Blackman, N. ;

Hyde, D. ;

Brainsky, A. ;

Theodore, D. .

JOURNAL OF HEPATOLOGY, 2010, 52 :S460-S460

[2] Independent predictors of liver fibrosis in patients with nonalcoholic steatohepatitis [J].

Angulo, P ;

Keach, JC ;

Batts, KP ;

Lindor, KD .

HEPATOLOGY, 1999, 30 (06) :1356-1362

[3] Neoadjuvant transjugular intrahepatic portosystemic shunt: A solution for extrahepatic abdominal operation in cirrhotic patients with severe portal hypertension [J].

Azoulay, D ;

Buabse, F ;

Damiano, I ;

Smail, A ;

Ichai, P ;

Dannaoui, M ;

Castaing, D ;

Bismuth, H .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2001, 193 (01) :46-51

[4] The safety of intra-abdominal surgery in patients with cirrhosis [J].

Befeler, AS ;

Palmer, DE ;

Hoffman, M ;

Longo, W ;

Solomon, H ;

Di Bisceglie, AM .

ARCHIVES OF SURGERY, 2005, 140 (07) :650-654

[5] Hepatic Steatosis as a Potential Risk Factor for Major Hepatic Resection [J].

Behrns K.E. ;

Tsiotos G.G. ;

DeSouza N.F. ;

Krishna M.K. ;

Ludwig J. ;

Nagorney D.M. .

Journal of Gastrointestinal Surgery, 1998, 2 (3) :292-298

[6] OUTCOME IN CIRRHOTIC-PATIENTS WITH ACUTE ALCOHOLIC HEPATITIS AFTER EMERGENCY PORTACAVAL-SHUNT FOR BLEEDING ESOPHAGEAL-VARICES [J].

BELL, RH ;

MIYAI, K ;

ORLOFF, MJ .

AMERICAN JOURNAL OF SURGERY, 1984, 147 (01) :78-84

[7] Unsuspected cirrhosis discovered during elective obesity operations [J].

Brolin, RE ;

Bradley, LJ ;

Taliwal, RV .

ARCHIVES OF SURGERY, 1998, 133 (01) :84-88

[8] Surgical resection of hepatocellular carcinoma in cirrhotic patients: Prognostic value of preoperative portal pressure [J].

Bruix, J ;

Castells, A ;

Bosch, J ;

Feu, F ;

Fuster, J ;

GarciaPagan, JC ;

Visa, J ;

Bru, C ;

Rodes, J .

GASTROENTEROLOGY, 1996, 111 (04) :1018-1022

[9]

Bruix J, 1997, HEPATOLOGY, V25, P259

[10] Management of Hepatocellular Carcinoma: An Update [J].

Bruix, Jordi ;

Sherman, Morris .

HEPATOLOGY, 2011, 53 (03) :1020-1022

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