Non-Hepatic Abdominal Surgery in Patients with Cirrhotic Liver Disease.
Laura HickmanLauren TannerJohn ChristeinSelwyn M VickersPublished in: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (2018)
Cirrhotic liver disease is an important cause of peri-operative morbidity and mortality in general surgical patients. Early recognition and optimization of liver dysfunction is imperative before any elective surgery. Patients with MELD <12 or classified as Child A have a higher morbidity and mortality than matched controls without liver dysfunction, but are generally safe for elective procedures with appropriate patient education. Patients with MELD >20 or classified as Child C should undergo transplantation before any elective procedure given mortality exceeds 40%. Laparoscopic procedures are feasible and safe in cirrhotic patients.
Keyphrases
- patients undergoing
- minimally invasive
- end stage renal disease
- mental health
- ejection fraction
- healthcare
- oxidative stress
- newly diagnosed
- chronic kidney disease
- prognostic factors
- cardiovascular events
- case report
- type diabetes
- robot assisted
- stem cells
- mesenchymal stem cells
- cardiovascular disease
- acute coronary syndrome
- coronary artery disease
- patient reported outcomes