J Korean Surg Soc.  1997 Jan;52(1):84-93.

The Short Term Prognosis in 482 Hepatic Resections

Affiliations
  • 1Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Abstract

Four hundred and eighty two hepatic resections were performed from June 1989. to May 1995. There were 328 normal livers, 120 cirrhotic livers, and 34 jaundice livers. The indications for hepatic resection were intrahepatic duct stone in 235, hepatocellular carcinoma in 137, peripheral cholangiocarcinoma in 24, Klatskin tumor in 38, metastatic liver cancer in 17, gallbladder cancer in 14 and other benign disease in 17. In the aspect of operative procedures, there were 84 right lobectomies, 27 extended right lobectomies, 16 right trisegmentectomies, 1 left trisegmentectomy, 30 extended left lobectomies, 6 central bisegmentectomies, 133 left lobectomies, and 185 other minor resections. Major postoperative complications(13.7%) were intraabdominal abscess and biliary leak(7.1%), hemorrhage(3.5%), hepatic failure(1.2%), pneumonia(1.7%), and liver infarct(0.2%). The factors affecting the major complications were intraoperative transfusion, operation time, resection volume, cirrhosis, and jaundice. Eleven of 482 patients died within 30 days of the operation, with an operative mortality rate of 2.3%. None of normal liver patients died postoperatively. Seven patients of the eleven deaths had cirrhotic liver(mortality rate : 5.8%). Four patients of the eleven deaths had jaundice liver(mortality rate: 11.8%). The factors affecting the operative mortality were intraoperative transfusion, operation time, cirrhosis, and jaundice.

Keyword

Hepatectomy; Complication; Operative mortaliy

MeSH Terms

Abscess
Carcinoma, Hepatocellular
Cholangiocarcinoma
Fibrosis
Gallbladder Neoplasms
Hepatectomy
Humans
Jaundice
Klatskin's Tumor
Liver
Liver Neoplasms
Mortality
Prognosis*
Surgical Procedures, Operative
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