Anaesthesia for Hepatic Resection Surgery - 27/02/22
, Leigh J.S. Kelliher, MBBS, BSc, FRCA, MD bRésumé |
This article will focus on the perioperative management of hepatic resection for colorectal cancer (CRC) liver metastases (CLRMs) (the liver is the dominant metastatic site for CRC) within the context of the Enhanced Recovery After Surgery (ERAS) paradigm. It discusses the epidemiology and outcomes along with the history of hepatic resection surgery and pertinent anatomy. The discussion of the preoperative phase includes patient selection, assessment of liver functional status, and new developments in prehabilitation. The intraoperative phase details developments in surgical and anesthetic techniques to minimize liver hemorrhage and reduce the risk of postoperative hepatic failure. Newer analgesic options are included. Management of potential complications is outlined in the postoperative section followed by a description of current evidence for ERAS and future directions.
Le texte complet de cet article est disponible en PDF.Keywords : ERAS, Enhanced recovery, Hepatic resection surgery, Pancreatic resection surgery, Whipple’s procedure
Plan
Vol 40 - N° 1
P. 91-105 - mars 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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