Consideraciones perioperatorias en el paciente oncológico sometido a hepatectomía

Abstract

Hepatic cancer, either primary or secondary, is one of the most common cancer types in Mexico. Surgical procedures with palliative or therapeutic purpose have become more frequent and precise, with exponentially decreasing morbidity and mortality as procedure-related pathophysiological mechanisms become clear. Anaesthetic management of the oncological patient undergoing hepatectomy is now a diagnostic and therapeutic challenge, actively involving the anaesthesiologist in all aspects of care, from patient screening, and assessment of liver function and underlying disease related morbidities, to an active peri-operative approach, ending with the appropriate post-operative patient management. Thus, a wider review about the related diseases, their organic changes, as well as their treatment, becomes necessary.