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01-02-2019 | ORIGINAL ARTICLE

Contemporary practice and short-term outcomes after liver resections in a complete national cohort

Authors: Kristoffer Lassen, Linn Såve Nymo, Frank Olsen, Kristoffer Watten Brudvik, Åsmund Avdem Fretland, Kjetil Søreide

Published in: Langenbeck's Archives of Surgery | Issue 1/2019

Abstract

Background

Improved outcome after liver resections have been reported in several series, but outcomes from national cohorts are scarce. Our aim was to evaluate nationwide practice and short-term outcomes after liver surgery in a universal healthcare system.

Methods

A complete 5-year cohort of all liver resections from the Norwegian Patient Registry (NPR). Short-term outcomes were aggregated length of stay (a-LoS), reoperation and 90-day mortality.

Results

Of 2118 liver resections, 605 (28.6%) were major, median age was 65 years and 1184 (55%) were male. Most common indication was metastatic disease (n = 1554; 73.4%) and primary malignancy (n = 328; 15.3%). Laparoscopy was performed in 513 (33.9%) of minor and 37 (6.1%) of major liver resections and increased over time to 39.1% of minor resections in 2016. Median a-LoS was 12 days for major resections, 8 days for open minor and 3 days for laparoscopic minor resections. Reoperation was reported for 159 (7.4%) and 90-day mortality for 44 (2.1%). Primary malignancy, male gender, elderly patients and major resections were associated with poorer outcome.

Conclusions

In a national cohort, laparoscopy is used for a substantial proportion of minor resections and was associated with reduced a-LoS. Risk factors for reoperation and mortality were male gender, increased age and major resection for primary malignancy.

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Title: Contemporary practice and short-term outcomes after liver resections in a complete national cohort
Authors: Kristoffer Lassen
Linn Såve Nymo
Frank Olsen
Kristoffer Watten Brudvik
Åsmund Avdem Fretland
Kjetil Søreide
Publication date: 01-02-2019
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 1/2019
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-018-1737-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Contemporary practice and short-term outcomes after liver resections in a complete national cohort

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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