Perioperative screening and management in elective complex hepatobiliary surgery

Area of Science:

• Hepatobiliary Surgery
• Perioperative Medicine
• Evidence-Based Practice

Background:

• Complex hepatobiliary (HPB) surgery requires meticulous preoperative optimization and structured perioperative care.
• Advances in surgical techniques alone are insufficient; perioperative measures significantly reduce morbidity and mortality.

Purpose of the Study:

• To provide an evidence-based overview of preoperative screening, optimization, and perioperative management for complex HPB surgery.
• To highlight the need for continuous updates in management algorithms for optimal patient outcomes.

Main Methods:

• Literature review of evidence-based practices in HPB surgery perioperative care.
• Synthesis of current recommendations for preoperative assessment and optimization.
• Analysis of strategies for minimizing postoperative complications.

Main Results:

• Perioperative care is a dynamic, evidence-based process requiring risk assessment and stratification.
• Correction of underlying conditions is vital for patient management.
• Postoperative morbidity remains significant, necessitating a multidisciplinary approach.

Conclusions:

• Structured, evidence-based perioperative care is essential for patients undergoing complex HPB surgery.
• Ongoing refinement of management algorithms is critical to enhance outcomes.
• A cohesive multidisciplinary approach is required to mitigate postoperative complications.