期刊
WORLD JOURNAL OF SURGERY
卷 45, 期 12, 页码 3654-3659出版社
SPRINGER
DOI: 10.1007/s00268-021-06230-0
关键词
-
类别
This study analyzed the impact of hepatic steatosis on perioperative outcomes of patients undergoing hepatectomy, showing that hepatic steatosis is associated with longer operative duration, increased transfusion requirements, and higher risk of infectious complications.
Background To determine the impact of hepatic steatosis on perioperative outcomes of patients undergoing hepatectomy. Methods We analyzed all hepatectomy patients with normal and fatty liver texture, between 2014 and 2018 using NSQIP. Main endpoints included perioperative transfusions (within 72 h) and infectious complications. Results A total of 8,237 patients underwent hepatectomy during the study period. The overall rate of fatty liver texture (FLG) was 31% (2,557). Operative duration was significantly longer; inflow occlusion was more common (Pringle maneuver), and the need of transfusions was significantly higher in the FLG compared to the normal liver group (NLG) (p = < 0.001). On multivariate analysis, patients in the FLG had increased risk of developing infectious complications (OR 1.22 [95%IC 1.05-1.41]) and transfusion requirements within 72 h after hepatectomy (OR 1.43 [95% CI 1.24-1.63]). Conclusions Hepatic steatosis is an independent risk factor for the development of infectious complications and increased perioperative transfusion requirements in patients undergoing hepatectomy. Those requiring transfusions within 72 h had also an increased risk of infections after hepatectomy.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据