• Akila Rajakumar, Ashwin Rammohan, and Mohamed Rela.
• The Institute of Liver Disease & Transplantation, Dr. Rela Institute & Medical Centre, Bharath Institute of Higher Education & Research, Chennai, India.
• Curr Opin Crit Care. 2022 Apr 1; 28 (2): 221228221-228.

Purpose Of ReviewPreoperative optimization and structured evidence-based perioperative care of a patient undergoing complex hepatobiliary (HPB) surgery are essential components in their management. Apart from advances in surgical technique, these perioperative measures have resulted in substantial reductions in morbidity and mortality. There hence, remains a continued need to have evidence-based updation in their management algorithm to ensure optimal outcomes.Recent FindingsWe present an evidence-based overview of the preoperative screening, optimization and perioperative management of patients undergoing complex HPB surgery.SummaryPerioperative care of these fragile patients is an evidence-based dynamic process. Optimal patient management undergoing HPB surgery requires risk assessment and stratification, and meticulous attention to the correction of underlying conditions. Despite this, postoperative morbidity remains relatively high and requires a cohesive multidisciplinary approach to minimize complications.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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