title: Perioperative risk factors in patients with liver disease undergoing non-hepatic surgery.
abstract: The patients with liver disease present for various surgical interventions. Surgery may lead to complications in a significant proportion of these patients. These complications may result in considerable morbidity and mortality. Preoperative assessment can predict survival to some extent in patients with liver disease undergoing surgical procedures. A review of literature suggests nature and the type of surgery in these patients determines the peri-operative morbidity and mortality. Optimization of premorbid factors may help to reduce perioperative mortality and morbidity. The purpose of this review is to discuss the effect of liver disease on perioperative outcome; to understand various risk scoring systems and their prognostic significance; to delineate different preoperative variables implicated in postoperative complications and morbidity; to establish the effect of nature and type of surgery on postoperative outcome in patients with liver disease and to discuss optimal anaesthesia strategy in patients with liver disease.
authors.affiliation: Chandra Kant Pandey, Sunaina Tejpal Karna, Vijay Kant Pandey, Manish Tandon, Amit Singhal, Department of Anaesthesiology, Institute of Liver and Biliary Sciences, Vasant Kunj, New Delhi 110070, India.
authors.forename: Chandra Kant
authors.initials: CK
authors.lastname: Pandey
authors.forename: Sunaina Tejpal
authors.initials: ST
authors.lastname: Karna
authors.forename: Vijay Kant
authors.initials: VK
authors.lastname: Pandey
authors.forename: Manish
authors.initials: M
authors.lastname: Tandon
authors.forename: Amit
authors.initials: A
authors.lastname: Singhal
authors.forename: Vivek
authors.initials: V
authors.lastname: Mangla
keywords: Cirrhosis; Liver disease; Perioperative risk