The Risk of Surgery in Patients With Liver Disease
table 2. Risk Factors for Morbidity and Mortality in Patients With Cirrhosis Undergoing Surgery |
|
Type of surgery |
Emergent |
Abdominal, especially cholecystectomy, gastric resection, or colectomy |
Cardiac surgery |
Hepatic resection |
Characteristics of patient |
Child’s class (C > B) |
Ascites |
Encephalopathy |
Infection |
Anemia |
Malnutrition |
Jaundice |
Hypoalbuminemia |
Portal hypertension |
Prolonged prothrombin time (>2.5 sec above control) that does not correct with vitamin K |
Abnormal quantitative liver function tests (e.g., galactose elimination capacity, aminopyrine breath test, indocyanine green clearance, monoethylglycinexylidide test) |
Hypoxemia |
|
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