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01-05-2012 | Original Article

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

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

Published in: Surgery Today | Issue 5/2012

Abstract

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.

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Title: Zero mortality in more than 300 hepatic resections: validity of preoperative volumetric analysis
Authors: Shinji Itoh
Ken Shirabe
Akinobu Taketomi
Kazutoyo Morita
Norifumi Harimoto
Eiji Tsujita
Keishi Sugimachi
Yo-ichi Yamashita
Tomonobu Gion
Yoshihiko Maehara
Publication date: 01-05-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 5/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-011-0108-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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