Liver resection for benign hepatic lesions: a retrospective analysis of 827 consecutive cases.
OBJECTIVE
To analyze the operative and perioperative factors associated with hepatectomy of benign hepatic lesions.


METHODS
A total of 827 consecutive cases of benign hepatic lesion undergoing hepatectomy from January 1986 to December 2005 in the Chinese PLA General Hospital were investigated retrospectively according to their medical documentation.


RESULTS
The effect of operative and perioperative factors on the outcome of patients were analyzed. Of the 827 cases undergoing hepatectomy for more than 3 liver segments accounted for 22.1%, 316 (38.21%) required transfusion of blood products during operation. The average operating time was 220.59 +/- 109.13 min, the average hospital stay after operation was 13.55 +/- 9.38 d. Child-Pugh A accounted for 98.13%. The postoperative complication rate was 13.54% and the in-hospital mortality rate was 0.24%. Multivariate analysis showed that operating time (P = 0.004, OR = 1.003) and albumin value (P = 0.040, OR = 0.938) were the independent predictors of morbidity and indicated that operating time, blood transfusion, complication rate, and LOS had a trend to decrease.


CONCLUSIONS
Hepatectomy for benign hepatic lesions can be performed safely with a low morbidity and mortality, provided that it is carried out with optimized perioperative management and an innovative surgical technique.
Feng
Zhi-Qiang
ZQ
Department of Hepatobiliary Surgery, General Hospital of PLA, 28 Fuxing Rd. Haidian District, Beijing 100853, China.
Huang
Zhi-Qiang
ZQ
Xu
Li-Ning
LN
Liu
Rong
R
Zhang
Ai-Qun
AQ
Huang
Xiao-Qiang
XQ
Zhang
Wen-Zhi
WZ
Dong
Jia-Hong
JH
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects / Q000379:methods*; D017052:Hospital Mortality; D006801:Humans; D008107:Liver Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult