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Published on: December 4, 2023
[Risk factors of surgical treatment in patients with liver cirrhosis]
V M Durleshter1,2, N V Korochanskaya1,2, D S Murashko1,2
1Kuban State Medical University, Krasnodar, Russia.
Objective:
To optimize selection of patient for surgical treatment of comorbidities and complications of liver cirrhosis (LC) via analysis of perioperative risk factors.
Material And Methods:
There were 610 patients with LC and comorbidities who underwent surgical treatment between 2015 and 2021 at the Regional Clinical Hospital No. 2. Thirty (4.9%) patients died. We analyzed Child-Pugh and MELD scores, Mayo Postoperative Surgical Risk Score and Charlson comorbidity index to predict postoperative mortality.
Results:
Perioperative risk in patients with LC depends on the type of surgery, degree of surgical invasiveness, liver function, and severity of LC-associated complications.
Conclusion:
A thorough preoperative assessment of patients and adequate perioperative management are required to reduce the risk of mortality.
Abstract:
liver cirrhosis, surgical treatment, risk factors.
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