Evaluation of Patients with Liver Disease before Nonhepatic Surgery

Patients with cirrhosis who require surgeries are at higher risk of surgical complications and mortality than patients without cirrhosis. Several tools are available to predict the risk of mortality after surgery in patients with cirrhosis and should be used as a standard part of the preoperative evaluation. Improving surgical outcomes requires multidisciplinary care to ensure proper patient selection, to determine the appropriate timing of surgery, and to optimize the medical management of cirrhosis.