Liver surgery in the presence of cirrhosis or steatosis: Is morbidity increased?
2008

Liver Surgery and Its Risks in Patients with Cirrhosis or Steatosis

publication Evidence: moderate

Author Information

Author(s): McCormack Lucas, Capitanich Pablo, Quiñonez Emilio

Primary Institution: Hospital Aleman, Ciudad Autónoma de Buenos Aires, Argentina

Hypothesis

How does the presence of cirrhosis or steatosis influence postoperative outcomes after liver resection?

Conclusion

Surgeons should consider the presence of underlying liver conditions when planning hepatic surgery to minimize risks.

Supporting Evidence

  • The presence of steatosis impairs postoperative outcomes regardless of the severity of hepatic fat.
  • Modern preoperative workup has improved outcomes for cirrhotic patients.
  • Many surgical strategies have been developed, but none have gained worldwide acceptance.

Takeaway

If someone has a sick liver, like with cirrhosis or too much fat, doctors need to be extra careful when doing liver surgery to help them heal better.

Methodology

A critical review of the English literature was performed to provide data concerning postoperative outcomes of patients with liver injuries requiring hepatectomy.

Limitations

The lack of a proper classification for morbidity and a clear definition of hepatic failure limits comparisons between studies.

Digital Object Identifier (DOI)

10.1186/1754-9493-2-8

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