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World Journal of Surgery

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01-03-2019 | Original Scientific Report (including Papers Presented at Surgical Conferences)

Enterothorax After Hepatic Surgery: A Single-Center Experience

Authors: G. Manzini, C. Kuemmerli, C. S. Reiner, H. Petrowsky, C. A. Gutschow

Published in: World Journal of Surgery | Issue 3/2019

Abstract

Background

Enterothorax (ET) is a rare complication after hepatic surgery. The literature in this field is limited and mainly based on case reports. The aim of this study was to review our department’s experience.

Patients and methods

We retrospectively analyzed 602 patients who underwent hepatic resection between November 2008 and December 2016. Major hepatic surgery (n = 321) was defined as right or extended right hepatectomy (n = 227), left or extended left hepatectomy (n = 63), trisegmentectomy (n = 13), and living donor liver transplantation (n = 18). ET cases were identified by analyzing clinical courses and radiological imaging.

Results

ET was observed in five out of 602 patients (0.8%). All patients developed the complication after major hepatic surgery (five out of 321, 1.6%). ET exclusively occurred after right (n = 3) or extended right hepatectomy (n = 2). Median time to diagnosis was 22 months. Radiological imaging showed herniation of small (n = 2), large bowel (n = 2), or omental fat (n = 1) with a median diaphragmatic defect of 3.9 cm. Two patients presented with acute incarceration and underwent emergency surgery, one patient reported recurrent pain and underwent elective repair, and two patients refused surgery. Follow-up imaging in two operated patients showed no recurrence of ET after 36 and 8 months.

Conclusions

Patients after right hepatectomy have a substantial risk of ET. Acute right upper quadrant pain and/or dyspnea after hepatectomy should be investigated with adequate radiological imaging. Elective surgical repair of ET is recommended to avoid emergency surgery in case of incarceration.

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Title: Enterothorax After Hepatic Surgery: A Single-Center Experience
Authors: G. Manzini
C. Kuemmerli
C. S. Reiner
H. Petrowsky
C. A. Gutschow
Publication date: 01-03-2019
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 3/2019
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-018-4838-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Enterothorax After Hepatic Surgery: A Single-Center Experience

Abstract

Background

Patients and methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Patients and methods

Results

Conclusions

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