Surgical procedures in the treatment of liver disease have improved in recent years thanks to newer technologies and a new set of surgical protocols. The mainstay of the operation is a pneumoperitoneum maintained at an intraperitoneal pressure of 12-14 mmHg. The patient is positioned supine, a laparotomy is performed, and optimal liver resection is achieved using a 30-degree laparoscope in a 12-mm periumbilical port. The procedure is performed in conjunction with an infusion of a cocktail of three drugs to counteract the effects of oxidative stress.
Using a multidisciplinary team to perform the operation has the obvious advantages of reducing a patient’s risk of infection, postoperative complications, and the associated costs. In addition, a well staffed institution will likely be able to provide better postoperative care, and in the end, a patient with a liver transplant may well have a better quality of life. The best part is that it can be done with relative ease and without resorting to a liver transplant. The most important component is the patient, and the patient’s physician, so a well coordinated effort will be a win-win for everyone.
The best way to evaluate the efficacy of the procedure is to perform a baseline clinical assessment. In addition to identifying the patient’s underlying liver disease, an appropriate medical history is required to identify the patient’s comorbidities, preexisting conditions, and preoperative treatment options.
Surgical procedures in the treatment of liver disease have improved in recent years thanks to newer technologies and a new set of surgical protocols. The mainstay of the operation is a pneumoperitoneum maintained at an intraperitoneal pressure of 12-14 mmHg. The patient is positioned supine, a laparotomy is performed, and optimal liver resection is achieved using a 30-degree laparoscope in a 12-mm periumbilical port. The procedure is performed in conjunction with an infusion of a cocktail of three drugs to counteract the effects of oxidative stress.
Using a multidisciplinary team to perform the operation has the obvious advantages of reducing a patient’s risk of infection, postoperative complications, and the associated costs. In addition, a well staffed institution will likely be able to provide better postoperative care, and in the end, a patient with a liver transplant may well have a better quality of life. The best part is that it can be done with relative ease and without resorting to a liver transplant. The most important component is the patient, and the patient’s physician, so a well coordinated effort will be a win-win for everyone.
The best way to evaluate the efficacy of the procedure is to perform a baseline clinical assessment. In addition to identifying the patient’s underlying liver disease, an appropriate medical history is required to identify the patient’s comorbidities, preexisting conditions, and preoperative treatment options.
