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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

GAJARDO, Abraham IJ et al. Surgical complications in cirrhotic patients. Analysis of 102 cases. Rev. méd. Chile [online]. 2019, vol.147, n.9, pp.1099-1106. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872019000901099.

Background:

Cirrhotic patients have an increased surgical risk due to potential intra and postoperative complications.

Aim:

To describe the clinical characteristics and surgical complications of cirrhotic patients undergoing surgery in a Chilean university hospital.

Patients and Methods:

Review of medical records of 102 cirrhotic patients aged 60 ± 11 years (52% males) who underwent elective or urgency surgery at an university hospital between 2010 and 2016. General, pre-surgical, and post-surgical complications were recorded.

Results:

The main etiologies of cirrhosis were non-alcoholic steatohepatitis (31%), and alcoholic cirrhosis (28%). Child-Pugh scores were A, B and C in 50, 28 and 22% of cases respectively. Median MELD (Model for End-stage Liver Disease) score was 11 (interquartile range: 10-15). The surgical procedure was elective in 71% of cases, with predominance of abdominal surgery (86%). The American Society of Anesthesiologists (ASA) score was three or more in 52% of patients. The frequency of any adverse outcome was 62%. The frequency increased along with the severity of cirrhosis and when surgery was urgent. The most common complications were acute renal failure (24%), increased ascites (23%) and encephalopathy (22%). Admission to intensive care unit occurred on 26% of patients, with six hospital deaths.

Conclusions:

In these patients, surgical complications were common, although with low mortality.

Palabras clave : Intraoperative Complications; Liver Cirrhosis; Risk Factors.

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