title: Postoperative infectious complications after liver resection for hepatocellular carcinoma.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the postoperative infectious complications after liver resection for hepatocellular carcinoma by logistic regression analysis.
  
  
  METHODS
  One hundred and sixty-six hepatocellular carcinoma patients who received surgery were retrospectively reviewed and included in this study. Of the included 166 patients, 42 patients had the postoperative infectious complications (case group) and other 124 patients did not develop postoperative infection (control group). The clinical characteristics (gender, chronic disease history) and operation-related factors were compared between the two groups. Moreover, independent risk factors for postoperative infectious complications were assessed by logistic regression analysis.
  
  
  RESULTS
  Statistical difference was found in the aspects of diabetes (P < 0.05), plasma albumin (P < 0.05), operation time (P < 0.05), blood loss (P < 0.05), biliary fistula (P < 0.05), and drainage time (P < 0.05). Logistic regression analysis indicated that plasma albumin <35 g/L (odds ratio [OR] =2.21, P < 0.05), blood loss >500 ml (OR = 2.65, P < 0.05), and biliary fistula (OR = 2.77, P < 0.05) were the independent risk factors for postoperative infectious complications.
  
  
  CONCLUSIONS
  Patients with plasma albumin <35 g/L, intraoperative blood loss > 500 ml, and postoperative drainage time >72 h are more likely to develop positive infectious complications.
authors.affiliation: Department of Liver Diseases, Lishui People's Hospital (The 6th Affiliated Hospital of Wenzhou Medical University), Zhejiang, Lishui 323000, PR China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Zhao
authors.affiliation: Department of EICU, Lishui People's Hospital (The 6th Affiliated Hospital of Wenzhou Medical University), Zhejiang, Lishui 323000, PR China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Jin
authors.affiliation: Department of EICU, Lishui People's Hospital (The 6th Affiliated Hospital of Wenzhou Medical University), Zhejiang, Lishui 323000, PR China.
authors.forename: Yueming
authors.initials: Y
authors.lastname: Wu
mesh_terms: D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000601:surgery; D016022:Case-Control Studies; D015897:Comorbidity; D005260:Female; D006801:Humans; D007239:Infections / Q000175:diagnosis / Q000209:etiology*; D008113:Liver Neoplasms / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D012720:Severity of Illness Index