Zero mortality in more than 300 hepatic resections: Validity of preoperative volumetric analysis

Shinji Itoh, Ken Shirabe, Akinobu Taketomi, Kazutoyo Morita, Norifumi Harimoto, Eiji Tsujita, Keishi Sugimachi, Yo Ichi Yamashita, Tomonobu Gion, Yoshihiko Maehara

研究成果: Contribution to journalReview article査読

26 被引用数 (Scopus)

抄録

Purpose We reviewed a series of patients who underwent hepatic resection at our institution, to investigate the risk factors for postoperative complications after hepatic resection of liver tumors and for procurement of living donor liver transplantation (LDLT) grafts. Methods Between April 2004 and August 2007, we performed 304 hepatic resections for liver tumors or to procure grafts for LDLT. Preoperative volumetric analysis was done using 3-dimensional computed tomography (3D-CT) prior to major hepatic resection. We compared the clinicopathological factors between patients with and without postoperative complications. Results There was no operative mortality. According to the 3D-CT volumetry, the mean error ratio between the actual and the estimated remnant liver volume was 13.4%. Postoperative complications developed in 96 (31.6%) patients. According to logistic regression analysis, histological liver cirrhosis and intraoperative blood loss >850 mL were significant risk factors of postoperative complications after hepatic resection. Conclusions Meticulous preoperative evaluation based on volumetric analysis, together with sophisticated surgical techniques, achieved zero mortality and minimized intraoperative blood loss, which was classified as one of the most significant predictors of postoperative complications after major hepatic resection.

本文言語英語
ページ(範囲)435-440
ページ数6
ジャーナルSurgery today
42
5
DOI
出版ステータス出版済み - 5 1 2012

All Science Journal Classification (ASJC) codes

  • Surgery

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