Hepatic Resection Surgeries: Perioperative Management and Prevention of Ischaemia Reperfusion InjuryAn Anesthesiologist’s Perspective
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Improvements in the understanding of liver anatomy, patient selection, and also surgical and anaesthetic techniques have contributed to a reduction in perioperative mortality although patients with parenchymal liver disease (e.g. cirrhosis) have significantly higher rates of complications and mortality. This decline in postoperative mortality after hepatic resection has encouraged surgeons for more radical liver resections, leaving behind smaller liver remnants in a bid to achieve curative surgeries. But despite advances in diagnostic, imaging and surgical techniques, postoperative liver dysfunction of varied severity including death due to liver failure is still a serious problem in such patients. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques are reviewed along with special emphasis on ischaemic and pharmacological preconditioning which can be easily adapted clinically.
Authors and Affiliations
Dr Priyanka Bansal, Dr Savita Saini, Dr Geeta Ahlawat
Keywords
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- EP ID EP597293
- DOI 10.9790/0853-1605047179.
- Views 56
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