[Complications of hepatic resection surgery: a 12-month experience in a high case-load specialized center].
BACKGROUND
Surgical treatment indications in benign and malignant hepatic tumors changed in last 20 years. Total number of hepatic resections increased in reference centers.


OBJECTIVE
To evaluate complications after hepatic resections in a specific center, during a 12 months period.


METHODS
Between January 2001 and January 2002, 80 patients with hepatic resection were analyzed. Mean age 55 years (r:14-79). Female: 55%. We analyze: tumor specifications, hepatic resection performed, transfusions, vascular clamping, operative time, associated procedures, length of hospital stage, postoperative complications and mortality.


RESULTS
61 patients (76.2%) were treated because of malignant pathology and 19 for benign. In 30 patients (37.5%) was made major resections and minor in 50 (62.5%). 16 patients (20%) required blood transfusions. Vascular intermittent clamping was used in 66 patients (82.5%). Associated procedures were made in 46 patients (58%). Mean operative time was 200'. Mean hospital stage: 6 days (r:3-12). Morbidity: 15 patients (18.7%). Complications were significantly higher in patients with: major hepatic resections (p: 0.002); primary hepatic tumors (p: 0.01); mean operative time more than 200' (p: 0.00007). Mortality associated with the procedure: 0%.


CONCLUSIONS
1-Hepatic resections performed in high volume centers have a low complication risk and almost with no mortality. 2-Major hepatic resection, primary malignant tumors and mean operative time more than 200', were risk factors associated with postoperative complications.
Stork
Gustavo
G
Sección de Cirugía Hepato Bilio Pancreática y Trasplante Hepático, Servicio de Cirugía General, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. storkgustavo@Argentina.com
Pekolj
Juan
J
Bonofiglio
Carlos
C
Ciardullo
Miguel
M
Moro
Mariano
M
Quiñonez
Emilio
E
Palavecino
Martin
M
de Santibañes
Eduardo
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D001118:Argentina / Q000453:epidemiology; D015331:Cohort Studies; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors