Skip to main content
main-content

08.09.2016 | Original Article | Ausgabe 3/2017

Indian Journal of Surgical Oncology 3/2017

Preoperative Risk Factors for 30-Day Reoperation in Patients Undergoing Hepatic Resections for Malignancy

Zeitschrift:
Indian Journal of Surgical Oncology > Ausgabe 3/2017
Autoren:
Jeffrey Douaiher, Tanvir Hussain, Mashaal Dhir, Lynette Smith, Chandrakanth Are

Abstract

Although hepatic resections are safe, reoperation within 30 days after the index operation continues to be a serious adverse event. This study identifies preoperative risk factors predictive of reoperation following hepatic resection for malignancy. Using appropriate CPT codes, all patients undergoing liver resection were extracted from the American College of Surgeons–National Surgical Quality Improvement Program (NSQIP) Participant Use Files between years 2005 and 2010. Subsets of patients with malignancies of the liver were identified using ICD-9 diagnosis. Primary outcome of the study was 30-day reoperations. Preoperative patient characteristics were compared by reoperations within 30 days through both univariate analysis and multivariate logistic regression. A total of 4812 patients who underwent hepatic resections for malignancy were extracted. Overall mortality and morbidity rates were 2.7 and 28.2 %, respectively. Multivariate logistic regression showed association between return to operating room and male gender (OR = 1.58, p = 0.0069), dependent functional status (OR = 3.35, p = 0.0021), intrahepatic primary biliary cancer (OR = 2.11, p = 0.0013), history of angina (OR 4.41, p = 0.023), and preoperative wound infection (OR = 3.8, p = 0.0029). Return to the operating room within 30 days after hepatic resection is an adverse event associated with significant morbidity. Identifying associated preoperative risk factors can help optimize patients and set up more appropriate expectations from resection.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 3/2017

Indian Journal of Surgical Oncology 3/2017 Zur Ausgabe

President's Address

President’s Message

  1. Sie können e.Med Chirurgie 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

  2. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.

Neu im Fachgebiet Chirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise