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Safety of Hepatectomy Accompanying Combined Resection of other Organs


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タイトル: Safety of Hepatectomy Accompanying Combined Resection of other Organs
著者: Nanashima, Atsushi / Abo, Takafumi / Takeshita, Hiroaki / Yamasaki, Naoya / Sawai, Terumitsu / Nagayasu, Takeshi
発行日: 2012年 9月
出版者: H.G.E. Update Medical Publishing Ltd.
引用: Hepato-gastroenterology, 59(118), pp.1915-1920; 2012
抄録: Background/Aims: The present study analyzed postoperative outcomes for patients who underwent hepatectomy accompanied by resection of other organs, to clarify operative safety. Methodology: We examined perioperative parameters in 95 patients who underwent hepatectomy and other organ resections (colorectal resection, n=46; gastrectomy or duodenectomy, n=13; splenectomy, n=17; resection of diaphragm, n=9; pulmonary resection, n=4; others, n=6). Results: Prevalence of chronic liver dysfunction (100%) or hepatocellular carcinoma (HCC) (100%) was significantly higher in patients who underwent splenectomy than in other groups (17% and 21%, respectively; p<0.01). Extent of hepatectomy, operating time and blood loss did not differ significantly between groups. Frequency of blood transfusion use was highest in patients who underwent splenectomy (p<0.01). Postoperative complications tended to be more frequent among patients who underwent splenectomy, but this difference was not significant. Wound infection tended to be more frequent among patients who underwent colorectal resection, but not significantly (p=0.11). Hepatectomy-associated complications in patients who underwent splenectomy most often appeared in the form of uncontrolled ascites (p<0.01), with hospital deaths rarely observed and hospital stay not significantly different between groups. Conclusions: Good postoperative outcomes in multi-organ resections with hepatectomy were observed by careful perioperative management based on adequate indications for hepatectomy.
キーワード: Combined resection / Hepatic resection / Patient outcome / Safety
URI: http://hdl.handle.net/10069/30984
ISSN: 01726390
DOI: 10.5754/hge11812
PubMed ID: 22369742
権利: © H.G.E. Update Medical Publishing S.A.
資料タイプ: Journal Article
原稿種類: author
出現コレクション:030 学術雑誌論文

引用URI : http://hdl.handle.net/10069/30984

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