Anaesthesia for the patient undergoing Hepatectomy

Authors

  • Bigen Man Shakya Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Keywords:

Anaesthesia, Intrahepatic Cholangiocarcinoma, Hepatectomy

Abstract

A 41 year old lady was planned for left hepatectomy for Intrahepatic Cholangiocarcinoma. This article describes the case and perioperative concerns during hepatectomy. Hepatectomy is a challenging procedure both for surgeons and anaesthesiologist. Better understandings of physiology and advancements in both the fields have markedly reduced the mortality related to hepatectomy. The major concern is the blood loss during the resection of tumor. Blood loss is minimized by multi - modal perioperative techniques. Pringle maneuver is used by surgeons to minimize blood loss during resection but have significant hemodynamic changes. The central venous pressure should be kept below 5 cm of H2O particularly during resection to minimize blood loss. The use of epidural for postoperative analgesia is controversial. Postoperative hepatic failure occurs in 3 % of cases. A good postoperative care with monitoring on relevant parameters is needed for better outcome.

Author Biography

Bigen Man Shakya, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Lecturer, Department of anesthesiology,

Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.

References

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Published

2014-03-01

How to Cite

Shakya, B. M. (2014). Anaesthesia for the patient undergoing Hepatectomy. Journal of Society of Anesthesiologists of Nepal, 1(1), 49-50. Retrieved from http://www.jsan.org.np/jsan/index.php/jsan/article/view/pdf_22

Issue

Vol. 1 No. 1 (2014): The Inaugural Issue

Section

Case Report

License

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.