Postoperative management after hepatic resection.
Hepatic resection has become the mainstay of treatment for both primary and certain secondary malignancies. Outcomes after hepatic resection have significantly improved with advances in surgical and anesthetic techniques and perioperative care. Metabolic and functional changes after hepatic resection are unique and cause significant challenges in management. In-depth understanding of hepatic physiology is essential to properly address the postoperative issues. Strategies implemented in the postoperative period to improve outcomes include adequate nutritional support, proper glycemic control, and interventions to reduce postoperative infectious complications among several others. This review article focuses on the major postoperative issues after hepatic resection and presents the current management.
Department of Surgery, Loma Linda University, Loma Linda, California, USA.
Lindsay J
LJ
Wrighton
Karen R
KR
O'Bosky
Jukes P
JP
Namm
Maheswari
M
Senthil