Медицинская литература. Новинки

 

 

 

 

 

 

О некоторых проблемах абдоминальной хирургии при циррозе печени

Вы можете загрузить полный текст статьи в формате pdf

Целью обзора является анализ влияния цирроза печени на результаты абдоминальных операций, роли и места предложенных прогностических систем для определения риска послеоперационных осложнений и летальности. Тщательное предоперационное обследование и отбор больных циррозом печени на основе объективной оценки риска операции могут способствовать уменьшению частоты послеоперационных осложнений и летальности.

Ключевые слова:
печень, портальная гипертензия, цирроз, абдоминальная хирургия, прогноз, осложнения, летальность, ASA, Child-Pugh, Turcotte, MELD, liver, portal hypertension, cirrhosis, abdominal surgery, prognosis, complications, mortality, ASA, Child-Turcotte-Pugh, Turcotte, MELD

Литература:
1.Friedman L.S. Surgery in the patient with liver disease. Trans. Am. Clin. Climatol. Assoc. 2010; 121: 192-204.
2.Patel T. Surgery in the patient with liver disease. Mayo Clin. Proc. 1999; 74 (6): 593-599.
3.Radle J., Rau B., Kleinschmidt S., Zeuzem S. Operative risk in patients with liver and gastrointestinal diseases. Dtsch. Arztebl. 2007; 104 (26): A 1914-1921.
4.Ziser A., Plevak D.J., Wiesner R.H., Rakela J., Offord K.P., Brown D.L. Morbidity and mortality in cirrhotic patients undergoing anesthesia and surgery. Anesthesiology. 1999; 90 (1): 42-53.
5.Pandey C.K., Karna S.T., Pandey V.K., Tandon M., Singhal A., Mangla V. Perioperative risk factors in patients with liver disease undergoing non-hepatic surgery. World J. Gastrointest. Surg. 2012; 4 (12): 267-274. doi: 10.4240/wjgs.v4.i12.267.
6.del Olmo J.A., Flor-Lorente B., Flor-Civera B., Rodriguez F., Serra M.A., Escudero A., Lledo S., Rodrigo J.M. Risk factors for nonhepatic surgery in patients with cirrhosis. World J. Surg. 2003; 27 (6): 647-652.
7.Rai R., Nagral S., Nagral A. Surgery in a patient with liver disease. J. Clin. Exp. Hepatol. 2012; 2 (3): 238-246.
8.Gelman S. General anesthesia and hepatic circulation. Can. J. Physiol. Pharmacol. 1987; 65 (8): 1762-1779.
9.Douard R., Lentschener C., Ozier Y., Dousset B. Operative risk of digestive surgery in cirrhotic patients. Gastroenterol. Clin. Biol. 2009; 33 (6-7): 555-564. doi: 10.1016/j.gcb.2009.03.012.
10.Lai H.C., Wang K.Y., Lee W.L., Ting C.T., Liu T.J. Severe pulmonary hypertension complicates postoperative outcome of non-cardiac surgery. Br. J. Anaesth. 2007; 99 (2): 184-190.
11.Bhangui P., Laurent A., Amathieu R., Azoulay D. Assessment of risk for non-hepatic surgery in cirrhotic patients. J. Hepatol. 2012; 57 (4): 874-884. doi: 10.1016/j.jhep.2012.03.037.
12.Befeler A.S., Palmer D.E., Hoffman M., Longo W., Solomon H., Di Bisceglie A.M. The safety of intra-abdominal surgery in patients with cirrhosis: model for end-stage liver disease sckore is superior to Child-Turcotte-Pugh classification in predicting outcome. Arch. Surg. 2005; 140 (7): 650-654.
13.Garrison R., Giyer H.M., Howard D.A., Polk H.C. Classification of risk for abdominal operations in patients with hepatic cirrhosis. Ann. Surg. 1984; 199 (6): 648-655.
14.Mansour A., Watson W., Shayani V., Pickleman J. Abdominal operations in patients with cirrhosis: still a major surgical challenge. Surgery. 1997; 122 (4): 730-735.
15.Neeff H., Mariaskin D., Spangenberg H.C., Hopt U.T., Makowiec F. Perioperative mortality after non-hepatic general surgery in patients with liver cirrhosis: an analysis of 138 operations in the 2000s using Child and MELD scores. J. Gastrointest. Surg. 2011; 15 (1): 1-11. doi: 10.1007/s11605-010-1366-9.
16.Hanje A.J., Patel T. Preoperative evaluation of patients with liver disease. Nat. Clin. Pract. Gastroenterol. Hepatol. 2007; 4 (5): 266-276.
17.Teh S.H., Nagorney D.M., Stevens S.R., Offord K.P., Therneau T.M., Plevak D.J., Talwalkar J.A., Kim W.R., Kamath P.S. Risk factors mortality after surgery in patients with cirrhosis. Gastroenterology. 2007; (4): 1261-1269.
18.Kiamanesh D., Rumley J., Moitra V.K. Monitoring and managing hepatic disease in anaesthesia. Br. J. Anaesth. 2013; 111 (Suppl. 1): i50-61. doi: 10.1093/bja/aet378.
19.Kim J.J., Dasika N.L., Yu E., Fontana R.J. Cirrhotic patients with a transjugular intrahepatic portosystemic shunt undergoing mayor extrahepatic surgery. J. Clin. Gastroenterol. 2009; 43 (6): 574-579. doi: 10.1097/MCG.0b013e31818738ef.
20.Vaja R., McNicol L., Sisley I. Anaesthesia for patients with liver disease. Contin. Med. Educ. Anaesth. Crit. Care Pain. 2010; 10 (1): 15-19.
21.Hoetzel A., Ryan H., Schmidt R. Anesthetic considerations for the patient with liver disease. Curr. Opin. Anaesthesiol. 2012; 25 (3): 340-347. doi: 10.1097/ACO.0b013e3283532b02.
22.Silva F.D., Andraus W., Pinheiro R.S., Arantes-Junior R.M., Lemes M.P., Ducatti Lde S., D''albuquerque L.A. Abdominal and inguinal hernia in cirrhotic patients: what’s the best approach? Arq. Bras. Cir. Dig. 2012; 25 (1): 52-55.
23.Marsman H.A., Heisterkamp J., Halm J.A., Tilanus H.W., Metselaar H.J., Kazemier G. Managment in patients with liver cirrhosis and umbilical hernis. Surgery. 2007; 142 (3): 372-375.
24.Mohamed A.A., Shareefi O., Hussin K.M., Alnehmi F.S. Umbilical hernia in cirrhotic patients: when to operate? Case presentation and literature review. Int. J. Surg. 2014; 31 (1): 1.
25.Loriau J., Manaouil D., Mauvais F. Management of umbilical hernia in cirrhotic patients. J. Chir. (Paris). 2002; 139 (3): 135-140.
26.Shlomovitz E., Quan D., Etemad-Rezai R., McAlister V.C. Association of recanalization of the left umbilical vein with umbilical hernia in patients with liver disease. Liver Transpl. 2005; 11 (10): 1298-1299.
27.Carbonell A.M., Wolfe L.G., DeMaria E.J. Poor outcomes in cirrhosis - associated hernia repair: a nationwide chohort study of 32,033 patients. Hernia. 2005; 9 (4): 353-357.
28.Choi S.B., Hong K.D., Lee J.S., Han H.J., Kim W.B., Song T.J., Suh S.O., Kim Y.C., Choi S.Y. Management of umbilical hernia complicated with liver cirrhosis: an advocate of early and elective herniorrhaphy. Dig. Liver Dis. 2011; 43 (12): 991-995. doi: 10.1016/j.dld.2011.07.015.
29.Eker H.H., van Ramshorst G.H., de Goede B., Tilanus H.W., Metselaar H.J., de Man R.A., Lange J.F., Kazemier G. A prospective study on elective umbilical hernia repair in patients with liver cirrhosis and ascites. Surgery. 2011; 150 (3): 542-546. doi: 10.1016/j.surg.2011.02.026.
30.Cobb W.S., Heniford B.T., Burns J.M., Carbonell A.M., Matthews B.D., Kercher K.W. Cirrhosis is not a contraindication to laparoscopic surgery. Surg. Endosc. 2005; 19 (3): 418-423.
31.Fagan S.D., Awad S.S., Berger D.H. Management of complicated umbilical hernias in patients with end-stage liver disease and refractory ascites. Surgery. 2004; 135 (6): 679-682.
32.Mariette C. Is there a place for esogastric cancer surgery in cirrhotic patients? Ann. Surg. Oncol. 2008; 15 (3): 680-682. doi: 10.1245/s10434-007-9765-1.
33.Lu M.S., Liu Y.H., Wu Y.C., Kao C.L., Liu H.P., Hsieh M.J. Is it safe to perform esophagectomy in esophageal cancer patients combined with liver cirrhosis? Interact. Cardiovasc. Thorac. Surg. 2005; 4 (5): 423-425.
34.Stein H.J., von Rahden B.H., Siewert J.R. Survival after oesophagectomy for cancer of the oesophagus. Langenbecks Arch. Surg. 2005; 390 (4): 280-285.
35.McCulloch P., Ward J., Tekkis P.P. ASCOT group of surgeons; British Oesophago-Gastric Cancer Group. Mortality and morbidity in gastro-oesophageal cancer surgery: initial results of ASCOT multicentre prospective cohort study. BMJ. 2003; 327 (7425): 1192-1197.
36.Lee J.H., Kim J., Cheong J.H., Hyung W.J., Choi S.H., Noh S.H. Gastric cancer surgery in cirrhotic patients: result of gastr ectomy with D2 lymph node dissection. World J. Gastroenterol. 2005; 11 (30): 4623-4627.
37.Ikeda Y., Kanda T., Kosugi S., Yajima K., Matsuki A., Suzuki T., Hatakeyama K. Gastric cancer surgery for patients with liver cirrhosis. World J. Gastrointest. Surg. 2009; 1 (1): 49-55. doi: 10.4240/wjgs.v1.i1.49.
38.Guo F., Ma S., Yang S., Dong Y., Luo F., Wang Z. Surgical strategy for gastric cancer patients with liver cirrhosis: a retrospective cohort study. Int. J. Surg. 2014; 12 (8): 810-814. doi: 10.1016/j.ijsu.2014.06.011.
39.Stahl M., Stuschke M., Lehmann N., Meyer H.J., Walz M.K., Seeber S., Klump B., Budach W., Teichmann R., Schmitt M., Schmitt G., Franke C., Wilke H. Chemoradiation with and without surgery in patients with locally advanced squamous cell carcinoma of the esophagus. J. Clin. Oncol. 2005; 23 (10): 2310-2317.
40.Lehnert T., Herfarth C. Peptic ulcer surgery in patients with liver cirrhosis. Ann. Surg. 1993; 217 (4): 338-346.
41.Siu W.T., Leong H.T., Law B.K., Chau C.H., Li A.C., Fung K.H., Tai Y.P., Li M.K. Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann. Surg. 2002; 235 (3): 313-319.
42.Franzetta M., Raimondo D., Giammanco M., Di Trapani B., Passariello P., Sammartano A., Di Gesu G. Prognostic factors of cirrhotic patients in extra-hepatic surgery. Minerva Chir. 2003; 58 (4): 541-544.
43.Brolin R.E., Bradley L.J., Taliwal R.V. Unsuspected cirrhosis discovered during elective obecity operations. Arch. Surg. 1998; 133 (1): 84-88.
44.Kral J.G., Thung S.N., Biron S., Hould F.S., Lebel S., Marceau S., Simard S., Marceau P. Effects of surgical treatment of the metabolic syndrome on liver fibrosis and cirrhosis. Surgery. 2004; 135 (1): 48-58.
45.Baltasar A., Serra C., Perez N., Bou R., Bengochea M. Clinical hepatic impairment after the duodenal swith. Obs. Surg. 2004; 14 (1): 77-83.
46.Fuks D., Sabbagh C., Yzet T., Delcenserie R., Chatelain D., Regimbeau J.M. Cirrhosis should not be considered as an absolute contraindication for pancreatoduodenectomy. Hepatogastroenterology. 2012; 59 (115): 881-883. doi: 10.5754/hge10509.
47.Nakeeb A., Sultan A.M., Salah T., Hemaly M., Hamdy E., Salem A., Moneer A., Said R., Abu Eleneen A., Abu Zeid M., Abdallah T., Abdel Wahab M. Impact of cirrhosis on surgical outcome after pancreaticoduodenectomy. World J. Gastroenterol. 2013; 19 (41): 7129-7137. doi: 10.3748/wjg.v19.i41.7129.
48.Warnick P., Mai I., Klein F., Andreou A., Bahra M., Neuhaus P., Glanemann M. Safety of pancreatic surgery in patients with simultaneous liver cirrhosis: a single center experience. Pancreatology. 2011; 11 (1): 24-29. doi: 10.1159/000323961.
49.Mariette D., Belghiti J. Chirurgic duo pancreas etcirrhose. In: Belghiti J., Cillet M., editors. La chirurgie digestive chez le cirrhotique, Monographies de I’AFC, Paris. 1993. P. 105-112.
50.Gervaz P., Pakart R., Nivatvongs S., Wolff B.G., Larson D., Ringel S. Colorectal adenocarcinoma in cirrhotic patients. J. Am. Coll. Surg. 2003; 196 (6): 874-879.
51.Montomoli J., Erichsen R., Christiansen C.F., Ulrichsen S.P., Pedersen L., Nilsson T., Sorensen H.T. Liver disease and 30-day mortality after colorectal cancer surgery: a Danish populationbased cohort study. BMC Gastroenterol. 2013; 15 (4): 13-66. doi: 10.1186/1471-230X-13-66.
52.Meunier K., Mucci S., Quentin V., Azoulay R., Arnaud J.P., Hamy A. Colorectal surgery in cirrhotic patients: assessment of operative morbidity and mortality. Dis. Colon. Rectum. 2008; 51 (8): 1225-1231. doi: 10.1007/s10350-008-9336-y.
53.Chmielecki D.K., Hagopian E.J., Kuo Y.H., Kuo Y.L., Davis J.M. Laparoscopic cholecystectomy is the preferred approach in cirrhosis: a nationwide, population-based study. HPB (Oxford). 2012; 14 (12): 848-853. doi: 10.1111/j.1477-2574.2012.00562.x.
54.Ерамишанцев А.К., Гордеев П.С., Ахмеджанов К.К. Диагностика и лечение острого холецистита при ЦП. Хирургия. 1992; 1: 15-17.
55.Dixon J.M., Armstrong C.P., Duffy S.W., Davies G.C. Factors affecting morbidity and mortality after surgery for obstructive jaundice: a review of 373 patients. Gut. 1983; 24 (9): 845-852.
56.Aranha G.V., Sontag S.J., Greenlee H.B. Cholecystectomy in cirrhotic patients: a formidable operation. Am. J. Surg. 1982; 143 (1): 55-60.
57.Schiff J., Misra M., Rendon G., Rothschild J., Schwaitzberg S. Laparoscopic cholecystectomy in cirrhotic patients. Surg. Endosc. 2005; 19 (9): 1278-1281.
58.Yerdel M.A., Tsuge H., Mimura H., Sakagami K., Mori M.,Orita K. Laparoscopic cholicystectomy in cirrhotic patients: expiring indications. Surg. Laparosc. Endosc. 1993; 3 (3): 180-183.
59.Yen C.N., Chen M.F., Jan Y.Y. Laparoscopic cholecystectomy in 226 cirrhotic patients: experience of a single center in Taiwan. Surg. Endosc. 2002; 16 (11): 1583-1587.
60.Puggioni A., Wong L.L. A metaanalysis of laparoscopic cholecystectomy in patients with cirrhosis. J. Am. Coll. Surg. 2003; 197 (6): 921-926.
61.Machado N.O. Laparoscopic cholecystectomy in cirrotics. JSLS. 2012; 16 (3): 392-400. doi: 10.4293/108680812X13462882736493.
62.Sugiyama M., Atomi Y., Kuroda A., Muto T. Treatment of choledocholithiasis in patients with liver cirrhosis. Surgical treatment or endoscopic sphincterotomy? Ann. Surg. 1993; 218 (1): 68-73.
63.Park D.H., Kim M.H., Lee S.K., Lee S.S., Choi J.S., Song M.H., Seo D.W., Min Y.I. Endoscopic sphincterotomy vs. endoscopic papillary balloon dilation for choledocholithiasis in patients with liver cirrhosis and coagulopathy. Gastrointest. Endosc. 2004; 60 (2): 180-185.
64.Curro G., Iapichino G., Melita G., Lorenzini C., Cucinotta E. Laparoscopic cholecystectomy in Child-Pugh class C cirrhotic patients. JSLS. 2005; 9 (3): 311-315.
65.de Goede B., Klitsie P.J., Hagen S.M., van Kempen B.J., Spronk S., Metselaar H.J., Lange J.F., Kazemier G. Metaanalysis of laparoscopic versus open cholecystectomy for patients with liver cirrhosis and symptomatic cholecystolithiasis. Br. J. Surg. 2013; 100 (2): 209-216. doi: 10.1002/bjs.8911.
66.Chowbey P.K., Venkatasubramanian R., Bagchi N., Sharma A., Khullar R., Soni V., Baijal M. Laparoscopic cholecystostomy is a safe and effective alternative in critically ill patients with acute cholecystitis: two cases. J. Laparoendosc. Adv. Surg. Techn. and Videoscopy. 2007; 17 (1): 43-46.
67.Conway J.D., Russo M.W., Shrestha R. Endoscopic stent insertion into the gallbladder for symptomatic gallbladder disease in patients with end-stage liver disease. Gastrointest. Endosc. 2005; 61 (1): 32-36.

About Some Problems of Abdominal Surgery in Liver Cirrhosis

The purpose of this review is analysis of cirrhosis influence on the results of abdominal operations, the role of the offered predictive systems to define the risk of postoperative complications and mortality. Careful preoperative examination and selection of patients based on objective assessment of surgical risk can promote reduction of postoperative complications and mortality.

Keywords:
печень, портальная гипертензия, цирроз, абдоминальная хирургия, прогноз, осложнения, летальность, ASA, Child-Pugh, Turcotte, MELD, liver, portal hypertension, cirrhosis, abdominal surgery, prognosis, complications, mortality, ASA, Child-Turcotte-Pugh, Turcotte, MELD