Abstract

Background – Children who present for liver resection are a challenge to anesthesiologists. They require adequate preoperative assessment and planning to improve their postoperative outcomes. A balanced technique providing organ protective anesthesia and hemodynamic stability ensures optimal surgical results. Anaesthesia for hep Result: atic resection has seen great changes with improvements in surgical technique and a better understanding of the underlying physiology. Good communication and interdisciplinary strategization between the pediatric oncologist, surgeon and the anesthesiologist also facilitate a good outcome. A retrospective review was performed on 20 cases of pediatric hepatoblastoma planned for partial hepatectomy in a pediatric tertiary care center in South India, over a 3-year period. Conclusion: In this study, general anesthesia with epidural analgesia and goal directed uid management with monitoring of central venous pressure and mean blood pressure during liver resection was found to be acceptable for pediatric liver resection without any signicant complications

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