Variable | Alive (n = 95) | Dead (n = 6) | Test | ||
---|---|---|---|---|---|
Age (year, mean ± SD) | 54.45 ± 11.19 | 64.67 ± 13.19 | 0.034 | Student | |
Liver cirrhosis | yes | 20 | 3 | NS = not significant | Chi square test |
no | 75 | 3 | |||
Biliary-enteric | yes | 25 | 3 | NS = not significant | Chi square test |
reconstruction | no | 70 | 3 | ||
Operative time | 318.33 ± 142.85 | 494 ± 182.29 | 0.009 | Student | |
(minute, mean ± SD) | |||||
Operative blood transfusion | 3.57 ± 3.16 | 9.8 ± 6.76 | 0.000 | Student | |
(unit, mean ± SD) | |||||
Reoperation | yes | 5 | 4 | <0.001 | Chi square test |
no | 90 | 2 | |||
Complication | yes | 24 | 6 | <0.001 | Chi square test |
no | 71 | 0 |
Operative procedure | Number of operations | |
---|---|---|
Right hepatectomy | 35 | |
Left hepatectomy | 11 | |
Right hepatectomy and segment I resection | 6 | |
Right lobectomy | 6 | |
Segment II and III resection | 6 | |
Segment IV resection | 6 | |
Wedge resection | 6 | |
Segment V resection | 5 | |
Segment V and VI resection | 5 | |
Segment VII resection | 3 | |
Segment VIII resection | 2 | |
Segment IVB and V resection | 2 | |
Right hepatectomy and wedge resection | 2 | |
Left hepatectomy and segment I resection | 2 | |
Right lobectomy and segment I resection | 1 | |
Segment V, VI, and VII resection | 1 | |
Segment VI and VII resection | 1 | |
Segment II, III and wedge resection | 1 | |
Segment V, VI and wedge resection | 1 | |
Segment IV resection | 1 | |
104 |
Complication | Number of complications = Some patients had more than one complication | Reoperation | Result |
---|---|---|---|
Wound infection | 7 | no | good recovery |
Intra-abdominal collection | 5 | 1 patient | reoperated patient died from MSOF = multi-system organ failure |
Intra-abdominal bleeding | 5 | all | 4 died from MSOF = multi-system organ failure |
Transient jaundice | 4 | no | good recovery |
Pleural effusion | 3 | no | good recovery |
Postoperative hepatic failure | 3 | all = All postoperative hepatic failure occurred after reoperation for intra-abdominal bleeding | all 3 died from MSOF = multi-system organ failure |
Bile fistula | 3 | no | good recovery |
Duodenal ulcer bleeding | 1 | yes | died from MSOF = multi-system organ failure |
Small bowel obstruction | 1 | yes | good recovery |
Intra-operative cardiac arrest | 1 | no | died |
Biliary obstruction | 1 | yes = Reconstruction with Roux-en-Y left hepaticojejunostomy | good recovery |
Total | 34 |
No | Age | Sex | Date of operation | Diagnosis | Operative procedure | Op time (min) | OpBITx (unit) | CUSA or jet | Cirrhosis | Complication | Reop | Cause of death | Death POD |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 53 | M | 23/11/00 | hilar CHCA | It lobectomy with rt hepatico– jejunostomy Roux-en-Y | 570 | 7 | yes | no | post op. bleeding, liver failure | yes | MSOF | 5 |
2 | 45 | F | 3/1/01 | peripheral CHCA | rt hepatectomy | NA | 0 | yes | no | intra op. cardiac arrest | no | intra op. cardiac arrest | 0 |
3 | 66 | M | 24/9/01 | HCC | segment VII resection | 700 | 17 | yes | yes | intra op. bleeding, liver failure | yes | MSOF | 14 |
4 | 73 | M | 21/2/05 | hilar CHCA | rt hepatectomy with It hepatico-jejunostomy Roux-en-Y | 540 | 10 | yes | no | post op. DU bleeding, liver failure | yes | MSOF | 47 |
5 | 80 | M | 24/3/08 | hilar CHCA | rt hepatectomy with It hepatico-jejunostomy Roux-en-Y | 450 | 15 | yes | yes | post op. bleeding, liver failure | yes | MSOF | 13 |
6 | 71 | M | 27/2/12 | HCC | Rt hepatectomy | 210 | 0 | yes | yes | post op. bleeding | yes | MSOF | 38 |
Pathological diagnosis | Number of patients | |
---|---|---|
Hepatocellular carcinoma | 32 | |
Hilar cholangiocarcinoma | 25 | |
Peripheral cholangiocarcinoma | 17 | |
Carcinoma of the gallbladder | 5 | |
Cystadenocarcinoma of the liver | 1 | |
Colorectal | 9 | |
Carcinoma of the breast | 1 | |
Carcinoma of the endometrium | 1 | |
| ||
Giant hemangioma | 1 | |
Focal nodular hyperplasia | 1 | |
Cystadenoma | 1 | |
Large symptomatic simple cyst | 1 | |
Benign cyst | 1 | |
| ||
Choledochal cyst | 1 | |
Primary biliary stones | 1 | |
Biliary cyst | 1 | |
Posttraumatic bile fistula | 1 | |
Intrahepatic biliary papillomatosis with sclerosing | 1 | |
cavernous hemangioma | ||
101 |