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Hepatic Surgery in Patients with Cirrhosis: Mitigating Risk

Feasibility, Concerns, and Outcomes

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Surgical Procedures on the Cirrhotic Patient

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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.

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Author information

Authors and Affiliations

  1. Department of Surgery, City of Hope National Medical Center, 1500 East Duarte Road, Duarte, CA, 91010, USA

    Susanne Warner MD & Yuman Fong MD

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  1. Susanne Warner MD
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  2. Yuman Fong MD
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Correspondence to Yuman Fong MD .

Editor information

Editors and Affiliations

  1. Transplantation Center, Department of General Surgery, Cleveland Clinic, Cleveland, Ohio, USA

    Bijan Eghtesad

  2. Department of Surgery, University of Chicago, Chicago, Illinois, USA

    John Fung

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Warner, S., Fong, Y. (2017). Hepatic Surgery in Patients with Cirrhosis: Mitigating Risk. In: Eghtesad, B., Fung, J. (eds) Surgical Procedures on the Cirrhotic Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-52396-5_12

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  • DOI: https://doi.org/10.1007/978-3-319-52396-5_12

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-52396-5

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