Perioperative management of patients with increased risk of laparoscopy-induced hepatic hypoperfusion.
Because hepatic hypoperfusion induced by laparoscopy has been underestimated, the aim of this article is to review the numerous factors influencing hepatosplanchnic blood flow during laparoscopy and to alert clinicians to the adverse consequences of hepatic hypoperfusion in high risk patients undergoing this procedure.
Clergue
François
F
Départments de Chirurgie et d'Anesthésie, Hôpitaux Universitaires de Genéve, Geneva, Switzerland.
Morel
Philippe
P
Pastor
Catherine M
CM
D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008107:Liver Diseases / Q000209:etiology*; D019990:Perioperative Care