Perioperative Liver and Kidney Diseases

Med Clin North Am. 2024 Nov;108(6):1119-1134. doi: 10.1016/j.mcna.2024.04.001. Epub 2024 Aug 1.

Abstract

Perioperative risks associated with acute hepatitis, cirrhosis, and chronic kidney disease are substantial and prevalence of underlying chronic kidney or liver disease is rising; surgeries in these populations have accordingly become more common. Optimal perioperative management in both cases is paramount; this article focuses on understanding disease pathophysiology, a targeted preoperative evaluation, accurate estimation of perioperative risk, and anticipation and management of common postoperative complications.

Keywords: Acute kidney injury; Cirrhosis; Kidney disease; Liver disease; Optimization; Perioperative; Perioperative risk; Postoperative.

Publication types

  • Review

MeSH terms

  • Humans
  • Kidney Diseases / etiology
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / surgery
  • Liver Diseases* / physiopathology
  • Perioperative Care* / methods
  • Postoperative Complications* / epidemiology
  • Postoperative Complications* / etiology
  • Renal Insufficiency, Chronic / complications
  • Renal Insufficiency, Chronic / epidemiology
  • Renal Insufficiency, Chronic / physiopathology
  • Renal Insufficiency, Chronic / therapy
  • Risk Factors