Perioperative factors related to prognosis of regular hepatectomy in comparison with irregular hepatectomy.
BACKGROUND
The aim of this research was to analyze the perioperative factors of regular hepatectomy and irregular hepatectomy. The superiority of the clinical application of the two methods was compared in the perioperative period.


METHODS
From 1986 to 2011, 1798 patients underwent consecutive liver resections with regular hepatectomy and irregular hepatectomy at the Air Force General Hospital of People's Liberation Army and the General Hospital of Chinese People's Liberation Army. Their medical documentation was investigated retrospectively.


RESULTS
In patients on whom regular hepatectomy and irregular hepatectomy were performed, there was no significant difference in perioperative blood loss, complications, in-hospital mortality, hospital stay, and so on. But in regular hepatectomy, operating time was an independent risk factor (P < 0.001, OR = 1.004).


CONCLUSIONS
There was no significant difference between the perioperative risk of regular hepatectomy and that of irregular hepatectomy.
Department of Hepatobiliary Surgery, Air Force General Hospital of People's Liberation Army, Beijing 100142, China.
Zhiqiang
Z
Feng
Department of Hepatobiliary Surgery, Air Force General Hospital of People's Liberation Army, Beijing 100142, China.
Hongqi
H
Li
Institute of Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
Jinqian
J
Zhang
Department of Surgery, Clinical Division of South Building, General Hospital of Chinese People's Liberation Army, Beijing 100853, China.
Lining
L
Xu
Department of Hepatobiliary Surgery, Air Force General Hospital of People's Liberation Army, Beijing 100142, China.
Mei
M
Xiao
Institute of Hepatobiliary Surgery, General Hospital of Chinese People's Liberation Army, Beijing 100853, China.
Zhiqiang
Z
Huang
Department of Hepatobiliary Surgery, Air Force General Hospital of People's Liberation Army, Beijing 100142, China. Email: zhanghongyi66@163.com.
Hongyi
H
Zhang
D005260:Female; D006498:Hepatectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D059035:Perioperative Period; D012189:Retrospective Studies