Perioperative considerations for patients with liver disease.
In surgical patients with underlying chronic liver disease, surgical outcomes correlate with hepatocellular function. The risk of surgery in such patients should be assessed preoperatively using the Child-Pugh or Model for End-Stage Liver Disease (MELD) severity scoring systems. Patients with severe liver disease (eg, Child-Pugh class C) should not undergo any elective surgery and should be evaluated for liver transplantation. In patients who can proceed with surgery, coagulopathy should be corrected preoperatively and careful fluid management is required intraoperatively to avoid hypotension. Renal insufficiency (as evidenced by elevated creatinine) may indicate that hepatorenal syndrome has developed and carries a poor prognosis.
Martin
Paul
P
Division of Hepatology, University of Miami Miller School of Medicine, PO Box 016960, Miami, FL 33101-6960, USA. pmartin2@med.miami.edu
D006528:Carcinoma, Hepatocellular / Q000601:surgery; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control; D006305:Health Status Indicators; D006801:Humans; D008107:Liver Diseases / Q000601:surgery*; D008113:Liver Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D011183:Postoperative Complications; D012307:Risk Factors