[Preventing Complications in Hepatopancreatobiliary Surgery]

Hepatopancreatobiliary (HPB) surgery is among the most complex fields in visceral surgery, and is associated with significant morbidity and mortality rates. This article provides a brief overview of current evidence-based strategies for the prevention of typical complications: post-hepatectomy liver failure (PHLF), bile leaks, postoperative pancreatic fistulas (POPF), delayed gastric emptying (DGE), and post-pancreatectomy haemorrhage (PPH). In the context of the definitions of the International Study Group of Liver Surgery (ISGLS) and the International Study Group of Pancreatic Surgery (ISGPS), preoperative conditioning measures, modern functional imaging, intraoperative surgical techniques, and pharmacological interventions are briefly outlined.