This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (36)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Kenneth R. Sirinek, MD, PhD; Raymond R. Burk, MD; Michael Brown, MD; Barry A. Levine, MD

Arch Surg. 1987;122(3):271-273.

Abstract
• Fifty-one patients with cirrhosis underwent 65 major abdominal procedures, with an 8% mortality and a 28% complication rate. Preoperative and perioperative management was comparable to that rendered patients with cirrhosis undergoing portosystemic shunting procedures. Emergency operation, persistent coagulation defects (prothrombin time and partial thromboplastin time prolonged 2 s), blood loss greater than 4 U, and exploration of the common bile duct were factors associated with increased mortality. Major surgical procedures can be safely performed in critically ill patients with cirrhosis with intensive preoperative care and with minimizing intraoperative blood loss.

(Arch Surg 1987;122:271-273)

Author Affiliations
From the Departments of Surgery (Drs Sirinek and Levine) and Medicine (Drs Burk and Brown), Audie L. Murphy Memorial Veterans Hospital and University of Texas Health Science Center, San Antonio.

Footnotes
Accepted for publication Sept 19, 1986.

Read before the Tenth Annual Surgical Symposium of the Association of Veterans Administration Surgeons, Washington, DC, May 8, 1986.

Reprint requests to Department of Surgery, University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio, TX 78284 (Dr Sirinek).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Extrahepatic biliary obstruction after percutaneous tumour ablation for hepatocellular carcinoma: aetiology and successful treatment with endoscopic papillary balloon dilatation
Sasahira et al.
Gut 2005;54:698-702.
ABSTRACT | FULL TEXT  

Access Problems in Laparoscopic Cholecystectomy: Postoperative Adhesions, Obesity, and Liver Disorders
Halpern
SURG INNOV 1998;5:92-106.
ABSTRACT  

Unsuspected Cirrhosis Discovered During Elective Obesity Operations
Brolin et al.
Arch Surg 1998;133:84-88.
ABSTRACT | FULL TEXT