Abstract

LAGARDA CUEVAS, Juan; RENDON ARROYO, María Elena; YERVES GONZALEZ, Lenin  and  RODRIGUEZ ZEPEDA, Juan Manuel. Manejo anestésico en cirugía hepática, vía biliar y de páncreas. Anest Analg Reanim [online]. 2012, vol.25, n.1, pp.19-30. ISSN 1688-1273.

SUMMARY  Cancer patients are an intellectual and physical challenge for the anesthesiologist. Within the complexity of cancer treatment, surgery of liver, bile duct and pancreas requiere special attention. The specific types of neoplasmas in this area of the body along with their unique epidemiology, make surgical treatments to be radical with the objective of achieving a longer expectation of life. The anesthetic management is aimed to correct and optimize the patient´s comorbidities prior and during surgery. This involves invasive hemodynamic monitoring to keep the patient in an adequate level of anesthesia and stable in their neurologic, renal and cardiovascular variables. The review that is set out below is an update of the types of tumoral diseases that involve this area. Key points are being highlighted regarding the anesthetic management from the preoperative assessment until the inmmediate postoperative period.Finally we suggest an optimal anesthetic procedure based on literature and expert consensus in patients with these conditions.http://jaf.com.uy/2012/07/16/parador-al-aire-libre-en-pueblo-centenario/

Keywords : PARTIAL HEPATECTOMY; WHIPPLE PROCEDURE; MELD SCORE; CHILD AND PUGH CLASSIFICATION.

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