کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6250444 1611487 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Clinical ScienceMorbidity and mortality of hepatectomy for benign liver tumors
ترجمه فارسی عنوان
علم بالینی: موربیدیتی و مرگ و میر ناشی از هپاتکتومی برای تومورهای خوش خیم کبد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundThis study compared the morbidity and mortality following hepatectomy for benign liver tumors and hepatic metastases.MethodsThis retrospective cohort study compared patients who underwent hepatectomy for benign liver tumors and metastases reported to National Surgical Quality Improvement Program between 2005 and 2011.ResultsA total of 5,542 patients underwent hepatectomy: 1,164 (21%) for benign and 4,378 (79%) for metastatic diseases. Patients with benign tumors were younger, predominantly female, and were less likely to have preoperative comorbidities (all P < .037). Rates of major complications including infections, embolism, renal failure, stroke, coma, cardiac arrest, reoperation, and ventilator dependence were similar between the 2 groups (all P ≥ .05). Thirty-day mortality was .9% among patients with benign tumors and 1.4% among patients with metastases (P = .128). After adjusting for significant effects of age and major complications (both P ≤ .007), benign vs malignant diagnosis and extent of hepatectomy was not associated with 30-day survival (both P ≥ .083).ConclusionsDespite patients with benign disease being younger and healthier, risks of major complications are similar after hepatectomy for benign and metastatic disease. Hepatectomy should be offered selectively for patients with benign liver tumors.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 211, Issue 1, January 2016, Pages 102-108
نویسندگان
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