Guisan Y, Enderlin F, Mihatsch M, Fahrländer H
Helv Chir Acta. 1975 Mar;42(1-2):241-4.
Extraabdominal operations are relatively well tolerated by the cirrhotic patient. However abdominal and thoracic surgery are followed by a very high morbidity and a mortality reaching 50% in these patients. Aggravating factors such as a decompensated cirrhosis and an alcoholic or viral hepatitis bear a catastrophic prognosis. The decision to perform surgery should as much as possible imply a knowledge of the histological nature of the cirrhosis and an intensive pre-operative preparation of the patient particularly in the respiratory and cardiac field.
肝硬化患者对腹部外手术的耐受性相对较好。然而，腹部和胸部手术在这些患者中会伴随着非常高的发病率，死亡率可达50%。诸如失代偿期肝硬化以及酒精性或病毒性肝炎等加重因素预示着灾难性的预后。决定进行手术应尽可能意味着了解肝硬化的组织学性质，并对患者进行强化的术前准备，特别是在呼吸和心脏方面。
