Improving Survival in Patients With Cirrhosis Undergoing Major Abdominal Operations

Kenneth R. Sirinek, Raymond R. Burk, Michael Brown, Barry A. Levine

Research output: Contribution to journalArticlepeer-review

64 Scopus citations


• Fifty-one patients with cirrhosis underwent 65 major abdominal procedures, with an 8% mortality and a 28% complication rate. Preoperative and perioperative management was comparable to that rendered patients with cirrhosis undergoing portosystemic shunting procedures. Emergency operation, persistent coagulation defects (prothrombin time and partial thromboplastin time prolonged 2 s), blood loss greater than 4 U, and exploration of the common bile duct were factors associated with increased mortality. Major surgical procedures can be safely performed in critically ill patients with cirrhosis with intensive preoperative care and with minimizing intraoperative blood loss.

Original languageEnglish (US)
Pages (from-to)271-273
Number of pages3
JournalArchives of Surgery
Issue number3
StatePublished - Mar 1987

ASJC Scopus subject areas

  • Surgery


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