Risk factors of liver failure after right-sided hepatectomy

Teijiro Hirashita, Masayuki Ohta, Yukio Iwashita, Kentaro Iwaki, Hiroki Uchida, Kazuhiro Yada, Toshifumi Matsumoto, Seigo Kitano

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: To prevent hepatic failure after major hepatectomy, it is important to assess preoperative factors related to liver failure. Methods: We examined 80 patients who underwent right-sided hepatectomy. Hyperbilirubinemia, uncontrolled ascites, and prolonged postoperative hospital stay were defined as liver failure after hepatectomy, and these 3 factors were evaluated in relation to clinicopathological and surgical factors. Results In the 80 patients, hyperbilirubinemia was observed in 10 (12.7%) patients, uncontrolled ascites in 18 (22.5%) patients, and prolonged hospital stay after surgery in 39 (48.8%) patients. Multivariate analyses identified platelet count as a risk factor of hyperbilirubinemia, uncontrolled ascites, and prolonged postoperative hospital stay, and the ratio of remnant liver volume to body surface area (RLV/BSA ratio) as an additional risk factor of hyperbilirubinemia and prolonged postoperative hospital stay. Conclusions: Platelet count and RLV/BSA ratio are useful risk factors for prediction of liver failure after right-sided hepatectomy.

Original languageEnglish
Pages (from-to)374-379
Number of pages6
JournalAmerican Journal of Surgery
Volume206
Issue number3
DOIs
Publication statusPublished - Sep 1 2013
Externally publishedYes

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Liver Failure
Hepatectomy
Hyperbilirubinemia
Length of Stay
Ascites
Platelet Count
Body Surface Area
Multivariate Analysis
Liver

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Hirashita, T., Ohta, M., Iwashita, Y., Iwaki, K., Uchida, H., Yada, K., ... Kitano, S. (2013). Risk factors of liver failure after right-sided hepatectomy. American Journal of Surgery, 206(3), 374-379. https://doi.org/10.1016/j.amjsurg.2012.12.013

Risk factors of liver failure after right-sided hepatectomy. / Hirashita, Teijiro; Ohta, Masayuki; Iwashita, Yukio; Iwaki, Kentaro; Uchida, Hiroki; Yada, Kazuhiro; Matsumoto, Toshifumi; Kitano, Seigo.

In: American Journal of Surgery, Vol. 206, No. 3, 01.09.2013, p. 374-379.

Research output: Contribution to journalArticle

Hirashita, T, Ohta, M, Iwashita, Y, Iwaki, K, Uchida, H, Yada, K, Matsumoto, T & Kitano, S 2013, 'Risk factors of liver failure after right-sided hepatectomy', American Journal of Surgery, vol. 206, no. 3, pp. 374-379. https://doi.org/10.1016/j.amjsurg.2012.12.013
Hirashita, Teijiro ; Ohta, Masayuki ; Iwashita, Yukio ; Iwaki, Kentaro ; Uchida, Hiroki ; Yada, Kazuhiro ; Matsumoto, Toshifumi ; Kitano, Seigo. / Risk factors of liver failure after right-sided hepatectomy. In: American Journal of Surgery. 2013 ; Vol. 206, No. 3. pp. 374-379.
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AU - Yada, Kazuhiro

AU - Matsumoto, Toshifumi

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