[Surgical technique and concept in precise hepatectomy: experience of 338 cases of hepatectomy in single center].
OBJECTIVE
To evaluate the perioperative clinical outcome and predictive factors for perioperative complication morbidity and mortality.


METHODS
From August 2003 to August 2008, the data of 338 cases of hepatectomy performed in the liver transplant center of the First Affiliated Hospital of Nanjing Medical University was collected in a prospective manner. The patients' perioperative clinical risk factors and results were analyzed.


RESULTS
In the 338 hepatectomy cases, 255 patients (75.4%) underwent precise anatomical hepatectomy. The overall perioperative complication morbidity was 18.1%, while the perioperative mortality was 0.6%. In a total of 211 (62.4%) cases, the operation was carried out without blood transfusion. Univariate analysis revealed that cirrhotic liver, thrombocytopenia, blood loss in operation > 1000 ml, blood transfusion in operation and several other factors were closely related with the incidence rate of complication. Multivariate logistic regression analysis indicated that thrombocytopenia and perioperative blood transfusion were important independently predictive factors for the occurrence of perioperative complications in hepatectomy.


CONCLUSIONS
Precise hepatectomy enables patients to obtain better clinical outcome with low complication morbidity and perioperative mortality. Reducing hemorrhage is an important factor that lead to good clinical results.
Li
Xiang-cheng
XC
Nanjing Medical University, Nanjing 210029, China. drlixiangcheng@gmail.com
Yao
Ai-hua
AH
Cheng
Feng
F
Zhang
Chuan-yong
CY
Li
Guo-qiang
GQ
Lu
Sen
S
Wang
Ke
K
Qian
Xiao-feng
XF
Pu
Li-yong
LY
Wang
Ping
P
Xu
Yong-hua
YH
Wang
Xue-hao
XH
D016063:Blood Loss, Surgical / Q000517:prevention & control; D006498:Hepatectomy / Q000379:methods* / Q000401:mortality; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D016015:Logistic Models; D019060:Minimally Invasive Surgical Procedures; D015999:Multivariate Analysis; D012189:Retrospective Studies; D012307:Risk Factors; D013921:Thrombocytopenia