Surgery in the patient with liver disease.
The advent of liver transplantation has greatly improved the long-term survival of patients with decompensated cirrhosis, and surgery is now performed more frequently in patients with advanced liver disease. The estimation of perioperative mortality is limited by the retrospective nature of and biased patient selection in the available clinical studies. The overall experience is that, in patients with cirrhosis, use of the Child classification and Model for End-Stage Liver Disease (MELD) score provides a reasonably precise estimation of perioperative mortality. Careful preoperative preparation and monitoring to detect complications early in the postoperative course are essential to improve outcomes.
O'Leary
Jacqueline G
JG
Division of Hepatology, Department of Internal Medicine, Baylor University Medical Center, 4th Floor Roberts, 3500 Gaston Avenue, Dallas, TX 75246, USA.
Yachimski
Patrick S
PS
Friedman
Lawrence S
LS
D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000601:surgery*; D008111:Liver Function Tests; D018579:Patient Selection; D011183:Postoperative Complications / Q000175:diagnosis* / Q000401:mortality / Q000517:prevention & control; D011300:Preoperative Care; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D016019:Survival Analysis; D016896:Treatment Outcome