2026-04-17T19:02:42Zhttps://recercat.cat/oai/request
oai:recercat.cat:2445/1269592025-12-05T09:34:50Zcom_2072_1057col_2072_478799col_2072_478916col_2072_478917
RECERCAT author López Delgado, Juan Carlos author Ballús, Josep author Esteve, Francisco author Betancur Zambrano, Nelson L. author Corral Velez, Vicente author Mañez, Rafael author Betbese, Antoni J. author Roncal, Joan A. author Javierre Garcés, Casimiro F. 2018-12-14T08:37:11Z2018-12-14T08:37:11Z2016-03-072018-12-14T08:37:11Z Patients suffering from liver cirrhosis (LC) frequently require non-hepatic abdominal surgery, even before liver transplantation. LC is an important risk factor itself for surgery, due to the higher than average associated morbidity and mortality. This high surgical risk occurs because of the pathophysiology of liver disease itself and to the presence of contributing factors, such as coagulopathy, poor nutritional status, adaptive immune dysfunction, cirrhotic cardiomyopathy, and renal and pulmonary dysfunction, which all lead to poor outcomes. Careful evaluation of these factors and the degree of liver disease can help to reduce the development of complications both during and after abdominal surgery. In the emergency setting, with the presence of decompensated LC, alcoholic hepatitis, severe/advanced LC, and significant extrahepatic organ dysfunction conservative management is preferred. A multidisciplinary, individualized, and specialized approach can improve outcomes; preoperative optimization after risk stratification and careful management are mandatory before surgery. Laparoscopic techniques can also improve outcomes. We review the impact of LC on surgical outcome in non-hepatic abdominal surgeries required in this cirrhotic population before, during, and after surgery. cc-by-nc (c) López Delgado, Juan Carlos et al., 2016 http://creativecommons.org/licenses/by-nc/3.0/es info:eu-repo/semantics/openAccess Cirrosi hepàtica Cirurgia abdominal Complicacions quirúrgiques Hepatic cirrhosis Abdominal surgery Complications of surgery Outcomes of abdominal surgery in patients with liver cirrhosis info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion