Surgery in cirrhotic patients is reported to bear a high risk of operative morbidity and mortality. Previous studies have attempted to identify the risks associated with certain procedures in these patients. So we have investigated numerous
factors
that
may influence the postoperative mortality and morbidity following the general surgical procedures in 80 cirrhotic patients admitted to the Chung-Ang University Hospital during the period between August 1984 and December 1992. There were 11
postoperative
deaths, a mortality rate of 13.8% and 23 postoperative complications, a morbidity rate of 28.8% in cirrhotic patients. The preoperative risk factors that affected the postoperative mortality and morbidity significantly were the total
bilirubin(≥3.5mg/dl), SGOT(≥40 unit), SGPT(≥40 unit), PT activity(<70%), albumin(≤3.0 gm/dl); intraoperative blood-loss(≥3 pints), nurmber of previous variceala bleeding, Child class C and emergency operation. The postoperative complications
were
hepatic failure, wound infection, renal failure and respiratory complication in the oder of frequency with the overall complication rate of 28.8%. In the view of above result, we consider that the high postoperative mortality and morbidity of
celiotomy
in cirrhotic patients can be minimized by intensive preoperative preparation and by avoiding emergency operation.(Korean J Gastroenterol 1994 ; 26 : 937-943)
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