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Hepatic Surgery in Patients with Cirrhosis: Mitigating Risk

Feasibility, Concerns, and Outcomes
Chapter

Abstract

Patients with cirrhosis are at particularly high risk for hepatic malignancies and other operative conditions; however, they are at commensurately high risk for perioperative morbidity and mortality. Understanding these patients’ anatomical and physiological differences and their inherent limitations is the key to establishing a safe plan of care for them. In properly selected patients, hepatic resection even in the setting of cirrhosis can yield favorable postoperative and oncological outcomes. This chapter will discuss indications for surgical intervention, risk stratification and modification, alterations in surgical technique that can be helpful in cirrhotic patients as well as alternatives to operative therapy that should be employed in certain instances, and finally will discuss postoperative care and outcomes.

Keywords

Hepatectomy Outcome Portal hypertension Surgery 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of SurgeryCity of Hope National Medical CenterDuarteUSA

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