The use of preoperative risk score to predict postoperative mortality following liver resection

2019 ◽  
Vol 119 (7) ◽  
pp. 1027-1028 ◽  
Author(s):  
Hai‐Jun Hou ◽  
Fu‐Shan Xue ◽  
Liu‐Jia‐Zhi Shao
Keyword(s):  
Liver Resection ◽  
Risk Score ◽  
Postoperative Mortality ◽  
Preoperative Risk

scholarly journals Development of a preoperative risk score for postoperative mortality after liver resection for presumed perihilar cholangiocarcinoma

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e863-e864 ◽  
Author(s):  
J.K. Wiggers ◽  
B. Groot Koerkamp ◽  
K.P. Cieslak ◽  
A. Doussot ◽  
P.J. Allen ◽  
...  
Keyword(s):  
Liver Resection ◽  
Risk Score ◽  
Postoperative Mortality ◽  
Perihilar Cholangiocarcinoma ◽  
Preoperative Risk

scholarly journals A novel preoperative risk score to optimize patient selection for performing concomitant liver resection with cytoreductive surgery/HIPEC

2020 ◽  
Vol 123 (1) ◽  
pp. 187-195
Author(s):  
Rachel M. Lee ◽  
Adriana C. Gamboa ◽  
Michael K. Turgeon ◽  
Mohammad Y. Zaidi ◽  
Charles Kimbrough ◽  
...  
Keyword(s):  
Liver Resection ◽  
Risk Score ◽  
Patient Selection ◽  
Cytoreductive Surgery ◽  
Preoperative Risk ◽  
Selection For

Developing and validating a preoperative risk score to predict 90‐day mortality after liver resection

2019 ◽  
Vol 119 (7) ◽  
pp. 1029-1030 ◽  
Author(s):  
Bobby V.M. Dasari ◽  
James Hodson ◽  
Robert P. Sutcliffe ◽  
Ravi Marudanayagam ◽  
Keith J. Roberts ◽  
...  
Keyword(s):  
Liver Resection ◽  
Risk Score ◽  
Preoperative Risk

Developing and validating a preoperative risk score to predict 90-day mortality after liver resection

2019 ◽  
Vol 119 (4) ◽  
pp. 472-478 ◽  
Author(s):  
Bobby V. M. Dasari ◽  
James Hodson ◽  
Robert P. Sutcliffe ◽  
Ravi Marudanayagam ◽  
Keith J. Roberts ◽  
...  
Keyword(s):  
Liver Resection ◽  
Risk Score ◽  
Preoperative Risk

scholarly journals Preoperative Risk Score Predicting 90-Day Mortality After Liver Resection in a Population-Based Study

Medicine ◽  
2014 ◽  
Vol 93 (12) ◽  
pp. e59 ◽  
Author(s):  
Chun-Ming Chang ◽  
Wen-Yao Yin ◽  
Yu-Chieh Su ◽  
Chang-Kao Wei ◽  
Cheng-Hung Lee ◽  
...  
Keyword(s):  
Liver Resection ◽  
Risk Score ◽  
Population Based ◽  
Preoperative Risk ◽  
Population Based Study

Radiofrequency ablation of colorectal liver metastases

2019 ◽  
Vol 98 (10) ◽  
Keyword(s):  
Radiofrequency Ablation ◽  
Liver Resection ◽  
Liver Metastases ◽  
Colorectal Liver Metastases ◽  
Survival Rates ◽  
Postoperative Mortality ◽  
Disease Free Survival ◽  
Female Ratio ◽  
Liver Resections ◽  
Multi Stage

Introduction: Radical liver resection is the only method for the treatment of patients with colorectal liver metastases (CLM); however, only 20–30% of patients with CLMs can be radically treated. Radiofrequency ablation (RFA) is one of the possible methods of palliative treatment in such patients. Methods: RFA was performed in 381 patients with CLMs between 01 Jan 2001 and 31 Dec 2018. The mean age of the patients was 65.2±8.7 years. The male to female ratio was 2:1. Open laparotomy was done in 238 (62.5%) patients and the CT-navigated transcutaneous approach was used in 143 (37.5%) patients. CLMs <5 cm (usually <3 cm) in diameter were the indication for RFA. We used RFA as the only method in 334 (87.6%) patients; RFA in combination with resection was used in 36 (9.4%), and with multi-stage resection in 11 (3%) patients. We performed RFA in a solitary CLM in 170 (44.6%) patients, and in 2−5 CLMs in 211 (55.6%) patients. We performed computed tomography in each patient 48 hours after procedure. Results: The 30-day postoperative mortality was zero. Complications were present in 4.8% of transcutaneous and in 14.2% of open procedures, respectively, in the 30-day postoperative period. One-, 3-, 5- and 10-year overall survival rates were 94.8, 66.8, 43.9 and 16.6%, respectively, in patients undergoing RFA, and 90.6, 69.1, 52.8 and 39.2%, respectively, in patients with liver resections. Disease free survival was 63.2, 30.1, 18.4 and 13.1%, respectively, in the same patients after RFA, and 71.1, 33.3, 22.8 and 15.5%, respectively, after liver resections. Conclusion: RFA is a palliative thermal ablation method, which is one of therapeutic options in patients with radically non-resectable CLMs. RFA is useful especially in a non-resectable, or resectable (but for the price of large liver resection) solitary CLM <3 cm in diameter and in CLM relapses. RFA is also part of multi-stage liver procedures.

scholarly journals A New Preoperative Risk Score for Predicting Postoperative Complications in Elderly Patients Undergoing Hepatectomy

2021 ◽  
Author(s):  
Koichi Tomita ◽  
Itsuki Koganezawa ◽  
Masashi Nakagawa ◽  
Shigeto Ochiai ◽  
Takahiro Gunji ◽  
...  
Keyword(s):  
Risk Factors ◽  
Skeletal Muscle ◽  
Postoperative Complications ◽  
Elderly Patients ◽  
Risk Score ◽  
Surgical Procedure ◽  
Evaluation Method ◽  
Preoperative Risk ◽  
Preoperative Serum ◽  
Independent Risk Factors

Abstract Background Postoperative complications are not rare in the elderly population after hepatectomy. However, predicting postoperative risk in elderly patients undergoing hepatectomy is not easy. We aimed to develop a new preoperative evaluation method to predict postoperative complications in patients above 65 years of age using biological impedance analysis (BIA). Methods Clinical data of 59 consecutive patients (aged 65 years or older) who underwent hepatectomy at our institution between 2017 and 2020 were retrospectively analyzed. Risk factors for postoperative complications (Clavien-Dindo ≥ III) were evaluated using multivariate regression analysis. Additionally, a new preoperative risk score was developed for predicting postoperative complications. Results Fifteen patients (25.4%) had postoperative complications, with biliary fistula being the most common complication. Abnormal skeletal muscle mass index from BIA and type of surgical procedure were found to be independent risk factors in the multivariate analysis. These two variables and preoperative serum albumin levels were used for developing the risk score. The postoperative complication rate was 0.0% with a risk score of ≤ 1 and 57.1% with a risk score of ≥ 4. The area under the receiver operating characteristic curve of the risk score was 0.810 (p = 0.001), which was better than that of other known surgical risk indexes. Conclusion Decreased skeletal muscle and the type of surgical procedure for hepatectomy were independent risk factors for postoperative complications after elective hepatectomy in elderly patients. The new preoperative risk score is simple, easy to perform, and will help in the detection of high-risk elderly patients undergoing elective hepatectomy.

scholarly journals Radiomorphology of the Habib Sealer-Induced Resection Plane during Long-Time Followup:A Longitudinal Single Center Experience after 64 Radiofrequency-AssistedLiver Resections

HPB Surgery ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
Robert Kleinert ◽  
Roger Wahba ◽  
Christoph Bangard ◽  
Klaus Prenzel ◽  
Arnulf H. Hölscher ◽  
...  
Keyword(s):  
Liver Resection ◽  
Morphological Characteristics ◽  
Postoperative Mortality ◽  
Coagulation Necrosis ◽  
Time Interval ◽  
Safe Alternative ◽  
Time Points ◽  
Single Center Experience ◽  
Long Time

Background. Radiofrequency (RF-) assisted liver resection devices like the Habib sealer induce a necrotic resection plane from which a small margin of necrotic liver tissue remains in situ. The aim of the present paper was to report our long-time experience with the new resection method and the morphological characteristics of the remaining necrotic resection plane. Methods. 64 RF-assisted liver resections were performed using the Habib sealer. Followup was assessed at defined time points. Results. The postoperative mortality was 3,6% and morbidity was 18%. The followup revealed that the necrotic zone was detectable in all analyzed CT and MRI images as a hypodense structure without any contrast enhancement at all time points, irrespectively of the time interval between resection and examination. Conclusion. Liver resection utilizing radiofrequency-induced resection plane coagulation is a safe alternative to the established resection techniques. The residual zone of coagulation necrosis remains basically unchanged during a followup of three years. This has to be kept in mind when evaluating the follow up imaging of these patients.

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