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Liver resections for metastasis: surgical outcomes of a single center academic institution
- Source :
- BMC Surgery, BMC Surgery, Vol 20, Iss 1, Pp 1-9 (2020)
- Publication Year :
- 2020
-
Abstract
- Background Hepatic metastasis are frequent and liver resection may be an option for some cases, despite the high complexity of the procedure and the possibility of postoperative complications. Methods This retrospective comparative descriptive study aims to evaluate a series of 86 consecutive liver resections (LRs) performed for the treatment of metastatic liver tumors, comparing the results between patients undergoing major and minor LR. All patients submitted to LR from October 2010 to July 2015 at the Erasto Gaertner Hospital in Curitiba-PR were included. Quantitative numerical variables were analyzed with the Student t-test. The nonparametric Mann–Whitney U test was used for numerical variables of non-normal distribution. Categorical variables were analyzed with the Chi-square test with Fisher's correction. The data were analyzed with the SPSS 23.0 and STATA 15 programs, being p Results Eighty-six LR were performed, 56 cases by colorectal metastasis. The major LR corresponded to 68 cases, with 13.2% of Clavien-Dindo III–V complications and 2.9% of reoperation rate. Eighteen minor LR were performed and one patient had a postoperative complication requiring reoperation. Conclusion Preoperative elevation of transaminases and jaundice negatively influence surgical outcomes in patients undergoing LR. Tumors greater than 3 cm presented worse postoperative survival. Major LR did not significantly increase the surgical morbidity rate. Institutional Review Board registration 1.122.319/2015
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
lcsh:Surgery
Liver resections
Single Center
Metastasis
Academic institution
Liver metastases
Postoperative complications
medicine
Hepatectomy
Humans
Aged
Retrospective Studies
Liver resection
business.industry
Liver Neoplasms
Postoperative complication
General Medicine
lcsh:RD1-811
Jaundice
Middle Aged
medicine.disease
Surgery
Treatment Outcome
Mann–Whitney U test
Female
medicine.symptom
business
Colorectal Neoplasms
Liver tumors
Research Article
Subjects
Details
- ISSN :
- 14712482
- Volume :
- 20
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC surgery
- Accession number :
- edsair.doi.dedup.....d35c8dd4499ebc7d43bf97c4134a7c39