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A Journal on Surgery

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Chirurgia 2005 October;18(5):273-6

language: English

Postoperative complications linked to liver resective surgery

Benzoni E., Uzzau A., Favero A., Molaro R., Cedolini C., Lorenzin D., Intini S., F. Bresadola F.


Aim. Although an accurate selection of patient eligible to resection, advances in surgical techniques and perioperative management have greatly contributed to lower the rate of perioperative deaths, stress must be put on reducing the postoperative complication rates Herein we analyzed causes and foreseeable risk factors on the ground of data derived from a single center surgical population.
Methods. From September 1989 to March 2005, 134 consecutive patients had liver resection for Hcc on cirrhosis at our department. We performed 54 major liver resections and 80 limited resections.
Results. In-hospital mortality rate was 7.4%, about 50% of these cases were Child-Pugh B patients. Morbidity rate was 47.7%. Technical aspects of surgical procedure responsible of the rising of complication are as follows: Pringle maneuver length (p=0.02), the amount of resected liver volume (p=0.03) and the request of blood transfusion (p=0.03).
Conclusion. Complication arisen during postoperative time delay patient's recovery and resumption of liver function; the evaluation of causes and foreseeable risk factors linked to postoperative morbidity during the planning of surgical treatment should play the same role as other factors weighted in the selection of patient eligible to liver resection.

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