Abstract | BACKGROUND: The aim of this prospective study was to analyze the risk of liver resection in unselected patients. PATIENTS AND METHOD: RESULTS: Overall mortality was 3.6% (15 cases). Mortality in benign tumors was lacking. The prevalence of postoperative complications was 43.9%, which was mainly influenced by malignancy (46.9% vs 21.6%, p = 0.001) and type of tumor (Klastkin tumor, p # 0.001). Major liver resection (p < 0.001), blood transfusion (p < 0.001), age over 60 years (p = 0.001) and the type of hepatectomy (p < 0.001) also increased significantly the morbidity. The prevalence of biliary fistula was 11.2%, which was mainly related to the type of hepatectomy (major hepatectomy; p = 0.002) and a biliary-enteric anastomosis (p < 0.001). The prevalence of hepatic insufficiency was 3.6%, and chief risk factors for its development were underlying liver disease and major liver resection (p = 0.017). CONCLUSIONS: Mortality after hepatectomy in experienced centers is low. Morbidity is mainly related to the amount of parenchyma resected, type of hepatectomy, underlying liver disease and associated procedures. Liver resection should be performed preferentially in centers with high volume by specialized surgeons.
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Authors | J Figueras, J Busquets, E Ramos, J Torras, L Ibáñez, L Llado, A Rafecas, J Fabregat, T Serano, A Dalmau, C Valls, E Jaurrieta |
Journal | Medicina clinica
(Med Clin (Barc))
Vol. 117
Issue 2
Pg. 41-4
(Jun 16 2001)
ISSN: 0025-7753 [Print] Spain |
Vernacular Title | Estudio clínico de 437 hepatectomías consecutivas. |
PMID | 11446923
(Publication Type: English Abstract, Journal Article)
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Topics |
- Aged
- Blood Transfusion
- Hepatectomy
(adverse effects)
- Humans
- Incidence
- Length of Stay
- Liver Neoplasms
(surgery)
- Middle Aged
- Postoperative Complications
(epidemiology)
- Prospective Studies
- Risk Factors
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