Abstract
Liver surgery is associated with a high rate of perioperative morbidity in patients with chronic liver disease and with underlying risk factors such as advanced age and pulmonary and vascular comorbidities, especially when a major hepatic resection is planned [1–4]. Safety and feasibility of laparoscopic liver resection (LLR) have been demonstrated by several studies, and nowadays, the open and laparoscopic approach can be considered equivalent in terms of operative risk [5–7]. Factors contributing to make LLR safe are advances in surgical techniques, more accurate knowledge of liver anatomy and physiology, development of dedicated anesthesiological protocols, and a close collaboration between the anesthesiological and surgical staff. The latter is of paramount importance in order to reduce operative time and intraoperative blood loss with the associated morbidity. Anesthesiologist’ duties range from offering skillful technical help and assistance in the operating room, to patient selection and to postoperative monitoring.
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De Felice, A., De Simone, G., Marracino, M., Esposito, C. (2013). Anesthesia. In: Calise, F., Casciola, L. (eds) Minimally Invasive Surgery of the Liver. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2664-3_7
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DOI: https://doi.org/10.1007/978-88-470-2664-3_7
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