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
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
收藏
页码:421 / +
页数:14
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