Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Avoiding early postoperative complications in liver surgery. A multivariate analysis of 254 patients consecutively observed
Autore:
Alfieri, S; Carriero, C; Caprino, P; Di Giorgio, A; Sgadari, A; Crucitti, F; Doglietto, GB;
Indirizzi:
Catholic Univ, Dept Med, Rome, Italy Catholic Univ Rome ItalyCatholic Univ, Dept Med, Rome, Italy Catholic Univ, Dept Digest Surg, Rome, Italy Catholic Univ Rome ItalyCatholic Univ, Dept Digest Surg, Rome, Italy
Titolo Testata:
DIGESTIVE AND LIVER DISEASE
fascicolo: 4, volume: 33, anno: 2001,
pagine: 341 - 346
SICI:
1590-8658(200105)33:4<341:AEPCIL>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAJOR HEPATIC RESECTION; LONG-TERM SURVIVAL; HEPATOCELLULAR-CARCINOMA; PERSONAL-EXPERIENCE; HEPATECTOMY; MORBIDITY; MANAGEMENT; MORTALITY; ISCHEMIA; TUMORS;
Keywords:
liver surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Alfieri, S Policlin A Gemelli, Div Chirurg Digest, Ist Clin Chirurg, LargoA Gemelli 8, I-00168 Rome, Italy Policlin A Gemelli Largo A Gemelli 8 Rome Italy I-00168 Italy
Citazione:
S. Alfieri et al., "Avoiding early postoperative complications in liver surgery. A multivariate analysis of 254 patients consecutively observed", DIG LIVER D, 33(4), 2001, pp. 341-346

Abstract

Background. The number of hepatic resections for benign and malignant lesions has constantly increased over the past 20 years, as a consequence, surgical experience acquired over the past few years has decreased post-operative morbidity and mortality rates. Aims. Analysing the relation between potential preoperative risk factors and the occurrence of severe post-operative complications, an attempt is made to identify the variables determining surgical risk in elective hepatic surgery both in normal and cirrhotic liver. Patients and Methods. The hospital records of 254 patients who underwent elective liver surgical procedures for hepatic lesions in our department, between 1984 and 1999, were reviewed. The following variables were entered into univariate and multivariate analysis: age, sex, nature of liver lesion (benign or malignant), presence of cirrhosis or cholestasis, synchronous resection of other organs, disorders of blood coagulation, intraoperative blood requirement, the extent of surgical procedures and Pringle's manoeuvre. Results and Conclusions. The multivariate analysis of the 254 surgical operations on the liver indicates that the most powerful independent predictors favouring a serious adverse effect includes intra-operative blood transfusions, advanced age and cirrhosis. Scrupulous preoperative clinical evaluation and expert surgical skills minimize intra-operative bleeding and provedto be the most significant factors influencing morbidity and mortality rates.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:15:01