Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Sep 28, 2015; 7(21): 2352-2357
Published online Sep 28, 2015. doi: 10.4254/wjh.v7.i21.2352
Neurosurgical procedures in patients with liver cirrhosis: A review
Ching-Chang Chen, Yin-Cheng Huang, Chun-Nan Yeh
Ching-Chang Chen, Yin-Cheng Huang, Department of Neurosurgery, Chang Gung Memorial Hospital, Taoyuan City 333, Taiwan
Ching-Chang Chen, Yin-Cheng Huang, Chun-Nan Yeh, Department of Medicine, Chang Gung University, Taoyuan City 333, Taiwan
Chun-Nan Yeh, Department of General Surgery, Chang Gung Memorial Hospital, Linkouand, Taoyuan 333, Taiwan
Author contributions: Chen CC and Huang YC contributed equally as 1st authors; Huang YC and Yeh CN contributed equally for corresponding authorship; Chen CC and Huang YC contributed to the drafting of this manuscript; Huang YC and Yeh CN revised the manuscript and co-correspond to this review article.
Conflict-of-interest statement: All the authors declare no conflicts of interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is
Correspondence to: Yin-Cheng Huang, MD, Department of Neurosurgery, Chang Gung Memorial Hospital, Chaiyi, No. 6, West Sec. Chiapu Rd, Putzu city, Chiayi county, Taoyuan City 333, Taiwan.
Telephone: +886-5-3621000-2854 Fax: +886-5-3623002
Received: April 21, 2015
Peer-review started: April 22, 2015
First decision: June 2, 2015
Revised: June 22, 2015
Accepted: August 30, 2015
Article in press: September 7, 2015
Published online: September 28, 2015
Core Tip

Core tip: Liver cirrhosis is a major comorbid factor for surgical patients, including neurosurgery. We reviewed published articles in the field of neurosurgical procedures. For the high incidence of morbidity/mortality rate, in cirrhotic patients, procedures should be carefully assessed and managed aggressively toward the coagulopathy and nutritional status.