Colorectal Surgery in Cirrhotics
Author Year Study design Diagnosis Patient number Overall morbidity rate (%) Overall mortality rate (%) Anastomotic leak rate (%) Metcalf [1] 1984 Retrospective, single-institution Mixed 54 48 41 19a Wind…
Hernia Repair in Cirrhotic Patients: Type, Timing, and Procedure of Choice
Fig. 13.1 Surgical care pathway for abdominal wall hernias in patients with chronic liver disease Presence of Portal Hypertension In the absence of portal hypertension, we have found that patients…
Hepatic Surgery in Patients with Cirrhosis: Mitigating Risk
Fig. 12.1 Hepatocellular carcinoma treatment algorithm. HCC hepatocellular carcinoma, CTP Child-Turcotte-Pugh, TACE transarterial chemoembolization, PH portal hypertension, Bili bilirubin; Orange outline indicates palliative treatments only Colorectal Liver Metastases While older…
Pancreatic Surgery in Patients with Cirrhosis
Fig. 11.1 Estimated median survival in months for patients diagnosed with pancreatic adenocarcinoma. The impact of surgical resection is demonstrated to be greatest in those patients who are diagnosed with…
Cholecystitis, Cholelithiasis, and Cholecystectomy in Cirrhotic Patients
© Springer International Publishing AG 2017Bijan Eghtesad and John Fung (eds.)Surgical Procedures on the Cirrhotic Patient10.1007/978-3-319-52396-5_10 10. Cholecystitis, Cholelithiasis, and Cholecystectomy in Cirrhotic Patients Kenneth D. Chavin1 , Gabriel R. Chedister2 , Vinayak S. Rohan2 and Arun P. Palanisamy1 (1) Department of Surgery, Case Western…
Role of Minimally Invasive Surgery in Patients with Cirrhosis
© Springer International Publishing AG 2017Bijan Eghtesad and John Fung (eds.)Surgical Procedures on the Cirrhotic Patient10.1007/978-3-319-52396-5_9 9. Role of Minimally Invasive Surgery in Patients with Cirrhosis Naftali Presser1 and Jeffery L. Ponsky2, 3 (1) Department of General Surgery,…
Perioperative Critical Care of the Patient with Liver Disease Undergoing Nonhepatic Surgery
© Springer International Publishing AG 2017Bijan Eghtesad and John Fung (eds.)Surgical Procedures on the Cirrhotic Patient10.1007/978-3-319-52396-5_8 8. Perioperative Critical Care of the Patient with Liver Disease Undergoing Nonhepatic Surgery David J. Kramer1, 2 (1) Aurora Critical Care…
The Impact of Liver Disease on Drug Metabolism
Clinical/biochemical indicator 1 point 2 points 3 points Serum bilirubin (mg/dL) <2 2–3 >3 Serum albumin (g/dL) >3.5 2.8–3.5 <2.8 Prothrombin time (s > control) <4 4–6 >6 Encephalopathy (grade)…
Anesthesia for Surgical Procedures in Cirrhotic Patients Other than Liver Transplantation: Management, Concerns, and Pitfalls
Diagnosis Screening method Perioperative consequences Cirrhotic cardiomyopathy (CCM) Echocardiography assessment of LV diastolic function Congestive heart failurea Hepatopulmonary syndrome (HPS) Room air hypoxemia (PaO2 <70 mmHg) in the absence of…
Coagulopathy in Cirrhosis
Phase of hemostasis Promote hemostasis Impair hemostasis Primary hemostasis (platelet activation) Increased VWF Decreased ADAMTS-13 Thrombocytopenia Secondary hemostasis (thrombin generation) Decreased protein C and S Decreased antithrombin III Increased factor…
