AI Article Synopsis
- The study aimed to identify factors that might predict the risks of complications and death after liver surgery for metastatic cancer.
- From 1990 to 1999, data from 136 patients were analyzed using logistic regression to find these prognostic factors.
- Major findings included that longer surgery times increased complications, and blood transfusions were linked to issues post-surgery, but overall, elective liver surgery was deemed safe regardless of its complexity, emphasizing the need for techniques to reduce blood loss and bile leakage.
Article Abstract
Background/aims: The aim of this study was to identify potentially prognostic factors that could predict the morbidity and mortality of liver resection for metastatic cancer.
Methodology: From January 1990 through December 1999, 136 patients who were treated for liver metastases of all primaries were identified from a prospective database. A stepwise procedure using logistic regression analysis was used to identify prognostic factors.
Results: Postoperative morbidity and mortality were 27% (95% confidence interval: 20-36%) and 2% (95% confidence interval: 0.0-4.0%) respectively. In our series we found the duration of surgery (postoperative complications increasing from 10% for operations of 2 hours or less to 44% for operations of more than 3.5 hours) and perioperative blood transfusion as prognostic factors for postoperative complications in general; we found a specific relation between extended right hemihepatectomy and postoperative bile duct related problems.
Conclusions: Elective hepatic surgery is safe, irrespective of its extent. The importance of technical measures to prevent blood loss and bile leakage has to be underlined. No perioperative factor could be determined to be exclusionary when considering a patient for resection.
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