Risk factors for major complications after liver resection: A large liver resection study from Morocco and audit of a non-Eastern/non-Western experience

2021 ◽  
Author(s):  
A. Benkabbou ◽  
A. Souadka ◽  
H. Hachim ◽  
A. Awab ◽  
M. Alilou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Liver Resection ◽  
Major Complications ◽  
Western Experience

scholarly journals The Interaction between Diabetes, Body Mass Index, Hepatic Steatosis, and Risk of Liver Resection: Insulin Dependent Diabetes Is the Greatest Risk for Major Complications

HPB Surgery ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
M. G. Wiggans ◽  
J. T. Lordan ◽  
G. Shahtahmassebi ◽  
S. Aroori ◽  
M. J. Bowles ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Liver Resection ◽  
Hepatic Steatosis ◽  
Significant Risk ◽  
Major Complication ◽  
Significant Risk Factor ◽  
Insulin Dependent Diabetes ◽  
Major Complications ◽  
Insulin Dependent

Background. This study aimed to assess the relationship between diabetes, obesity, and hepatic steatosis in patients undergoing liver resection and to determine if these factors are independent predictors of major complications. Materials and Methods. Analysis of a prospectively maintained database of patients undergoing liver resection between 2005 and 2012 was undertaken. Background liver was assessed for steatosis and classified as <33% and ≥33%. Major complications were defined as Grade III–V complications using the Dindo-Clavien classification. Results. 504 patients underwent liver resection, of whom 56 had diabetes and 61 had steatosis ≥33%. Median BMI was 26 kg/m2 (16–54 kg/m2). 94 patients developed a major complication (18.7%). BMI ≥ 25 kg/m2 (P=0.001) and diabetes (P=0.018) were associated with steatosis ≥33%. Only insulin dependent diabetes was a risk factor for major complications (P=0.028). Age, male gender, hypoalbuminaemia, synchronous bowel procedures, extent of resection, and blood transfusion were also independent risk factors. Conclusions. Liver surgery in the presence of steatosis, elevated BMI, and non-insulin dependent diabetes is not associated with major complications. Although diabetes requiring insulin therapy was a significant risk factor, the major risk factors relate to technical aspects of surgery, particularly synchronous bowel procedures.

scholarly journals 407 Incidental Focal Intrahepatic Duct Dilatation (FIDD) – A Finding That Mandates Further Investigation That May Include Liver Resection

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
N Kumar ◽  
A Kumar ◽  
D Mondal
Keyword(s):  
Liver Resection ◽  
Incidental Finding ◽  
Liver Function Tests ◽  
Cross Sectional ◽  
Intrahepatic Stones ◽  
Intraductal Papillary Neoplasm ◽  
Duct Dilatation ◽  
Intrahepatic Duct ◽  
Western Experience ◽  
Upper Abdominal

Abstract Background The increasing use of imaging has led to incidental findings in the liver. The Western experience of managing focal intrahepatic duct dilatation (FIDD) is not well recorded. We present our experience based on a large prospectively maintained database at a tertiary hepatobiliary surgical unit. Method Patients with liver resection for FIDD between January 2003-December 2019 were retrospectively identified from the liver unit database. The demographics, symptomatology, blood test results, imaging, type of liver resection, morbidity, mortality, and histology of resected specimens were recorded. Results 9 patients had FIDD among 994 liver resections performed (0.9%). 6 patients were asymptomatic, 2 upper abdominal pain and 1 recurrent gram-negative sepsis. Liver function tests were normal in all patients. Two patients had cholangiocarcinoma (CCA), 4 intrahepatic stones, 1 intraductal papillary neoplasm of bile duct (IPN –B) and 2 benign strictures. Conclusions FIDD is rare in the Western population. Most patients are asymptomatic with an incidental finding of FIDD on cross-sectional imaging. Differentiating benign and malignant pathology is difficult warranting liver resection in fit patients to resolve the diagnosis. Liver resection is safe and can be potentially curative in patients with a neoplasm, which can occur in 30% of patients with FIDD.

122 Risk factors for major complications after extrapleural pneumonectomy

Lung Cancer ◽  
2006 ◽  
Vol 54 ◽  
pp. S30 ◽  
Author(s):  
M. de Perrot ◽  
K. McRae ◽  
M. Anraku ◽  
K. Karkouti ◽  
T.K. Waddell ◽  
...  
Keyword(s):  
Risk Factors ◽  
Extrapleural Pneumonectomy ◽  
Major Complications

scholarly journals Percutaneous renal biopsy of native kidneys: efficiency, safety and risk factors associated with major complications

2011 ◽  
Vol 5 ◽  
pp. 823-831 ◽  
Author(s):  
Abel Torres Muňoz ◽  
Rafael Valdez-Ortiz ◽  
Carlos González-Parra ◽  
Elvy Espinoza-Dávila ◽  
Luis E. Morales-Buenrostro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Biopsy ◽  
Factors Associated ◽  
Percutaneous Renal Biopsy ◽  
Major Complications

scholarly journals Impact of Intraoperative Gravity-Dependent Atelectasis Following Laparoscopic Liver Resection Performed in the Lateral Position

2021 ◽  
Author(s):  
Ryoichi Miyamoto ◽  
Toshiro Ogura ◽  
Amane Takahashi ◽  
Akifumi Kimura ◽  
Shinichi Matsudaira ◽  
...  
Keyword(s):  
Risk Factors ◽  
Liver Resection ◽  
Postoperative Complications ◽  
Laparoscopic Liver Resection ◽  
Operating Time ◽  
Multivariate Logistic Regression Analysis ◽  
Lateral Position ◽  
Cancer Center ◽  
Related Factors ◽  
Left Half

Abstract Purpose Laparoscopic liver resection (LLR) is currently an accepted approach for liver surgery in select patients. The correlation between the intraoperative position and the presence of gravity-dependent atelectasis (GDA) has been well discussed. However, LLR is performed in the left half lateral position, and the relationship between this position and the presence of GDA remains unclear. We evaluated the extent to which the intraoperative left half lateral position affects the presence of GDA. Furthermore, univariate and multivariate analyses were performed to identify potential risk factors for LLR postoperative complications with a special emphasis on the presence of GDA by comparing various patient-, liver- and surgery-related factors in a retrospective cohort. Methods We retrospectively evaluated 129 patients who underwent LLR in the left half lateral position at the Saitama Cancer Center in Saitama, Japan between March 2011 and July 2020. The frequency and duration of GDA were investigated. We divided the cohort into with GDA and without GDA groups based on a cutoff value (≥ 5 days, n = 61 and < 5 days, n = 68, respectively). Using multivariate analysis, the duration of GDA and several risk factors for LLR postoperative complications were independently assessed. Results Postoperative GDA was observed in 61 patients (47%) and lasted for 1 to 8 days in these patients. The mean duration of GDA was 4.3 days. Multivariate logistic regression analysis revealed a GDA duration of 5 days or more (odds ratio [OR], 2.03; p = 0.001) and an operating time > 388 minutes (OR, 5.31; p < 0.001) to be independent risk factors for LLR postoperative complications. Conclusions The incidence and duration of postoperative GDA are considered useful predictors of postoperative complications, and these predictors should be assessed to improve the short-term outcomes of patients undergoing LLR.

Risk Factors for Major Complications After Extrapleural Pneumonectomy for Malignant Pleural Mesothelioma

2008 ◽  
Vol 85 (4) ◽  
pp. 1206-1210 ◽  
Author(s):  
Marc de Perrot ◽  
Karen McRae ◽  
Masaki Anraku ◽  
Keyvan Karkouti ◽  
Thomas K. Waddell ◽  
...  
Keyword(s):  
Risk Factors ◽  
Malignant Pleural Mesothelioma ◽  
Extrapleural Pneumonectomy ◽  
Pleural Mesothelioma ◽  
Major Complications
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