Surgery in the Patient with Chronic Liver Disease
Patients with chronic liver disease including cirrhosis are now being offered surgery more than ever before. Surgical risk in the patient with cirrhosis is complex and depends on multiple factors including severity of liver disease, surgical procedure, urgency of the procedure, type of sedation, and presence of comorbid conditions. However, there are currently no rigorous evidence-based guidelines to aid the clinician in the management of the patient with chronic liver disease undergoing surgery. Many studies regarding the subject are small, retrospective, and outdated. In this chapter, we outline the principles involved in the management of patients with chronic liver disease undergoing surgery.
KeywordsCirrhosis Surgery Liver Preoperative Risk
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