Factors associated with fatal liver failure after extended hepatectomy
作者: Stéphanie TruantMehdi El AmraniCécile SkrzypczykEmmanuel BoleslawskiGéraldine SergentMohamed HebbarSébastien DharancyFrançois-René Pruvot
作者单位: 1Department of Digestive Surgery and Transplantation, France
2Department of Radiology, France
3Department of Medical Oncology, France
4Department of Hepatogastroenterology, France
刊名: HPB, 2017, Vol.19 (8), pp.682-687
来源数据库: Elsevier Journal
DOI: 10.1016/j.hpb.2017.04.006
英文摘要: Abstract(#br)Background(#br)Posthepatectomy liver failure (PHLF) is the leading cause of posthepatectomy mortality. This study aimed to revisit the etiology and pattern of PHLF and its role in posthepatectomy morbidity and mortality.(#br)Methods(#br)The pattern and etiology of PHLF and subsequent morbidity and mortality were analysed in the subgroup of patients without cirrhosis undergoing an extended hepatectomy (≥4 segments) over a 5 year period. PHLF was defined using ISGLS criteria and/or 50-50 and/or peak serum bilirubin >7 mg/dl.(#br)Results(#br)Among 285 included patients (median age 62 [20–89]), 81 (28%) developed PHLF with higher rates of major complications (38%) and mortality (27%) than patients without PHLF (13% and 2%, respectively; p < 0.001). Twenty-six patients (9%) died,...
全文获取路径: Elsevier  (合作)

  • hepatectomy 肝切除术
  • liver 
  • extended 扩展
  • associated 相关的
  • fatal 致命的
  • failure 破坏
  • after 在之后