Major liver resection for hepatocellular carcinoma in the morbidly obese: a proposed strategy to improve outcome.
BACKGROUND
Morbid obesity strongly predicts morbidity and mortality in surgical patients. However, obesity's impact on outcome after major liver resection is unknown.


METHODS
We describe the management of a large hepatocellular carcinoma in a morbidly obese patient (body mass index >50 kg/m2). Additionally, we propose a strategy for reducing postoperative complications and improving outcome after major liver resection.


CONCLUSIONS
To our knowledge, this is the first report of major liver resection in a morbidly obese patient with hepatocellular carcinoma. The approach we used could make this operation nearly as safe in obese patients as it is in their normal-weight counterparts.
Barakat
Omar
O
Department of Surgery, Texas Heart Institute at St, Luke's Episcopal Hospital, Houston, Texas, USA. omarbarakat@sbcglobal.net
Skolkin
Mark D
MD
Toombs
Barry D
BD
Fischer
John H
JH
Ozaki
Claire F
CF
Wood
R Patrick
RP
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000601:surgery*; D009767:Obesity, Morbid / Q000150:complications*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D016896:Treatment Outcome
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