Position paper on perioperative management and surgical risk in the patient with cirrhosis

Abstract

Introduction: Management of the patient with cirrhosis of the liver that requires surgical treat ment has been relatively unexplored. In Mexico, there is currently no formal stance or expert recommendations to guide clinical decision-making in this context. Aims: The present position paper reviews the existing evidence on risks, prognoses, precau tions, special care, and specific management or procedures for patients with cirrhosis that require surgical interventions or invasive procedures. Our aim is to provide recommendations by an expert panel, based on the best published evidence, and consequently ensure timely, quality, efficient, and low-risk care for this specific group of patients. Results: Twenty-seven recommendations were developed that address preoperative consider ations, intraoperative settings, and postoperative follow-up and care.