Prediction of perioperative outcome after hepatic resection for pediatric patients
BMC Gastroenterology Dec 06, 2019
Liu J, et al. - Given the association of hepatic resection with a significant risk of morbidity and mortality and the possible value of optimizing the surgical techniques and perioperative management for improving operative morbidity and mortality, researchers sought for perioperative variables that are implicated in the improvement of postoperative outcomes in pediatric hepatectomy. They assessed 156 pediatric patients who underwent hepatectomy at their center (an academic tertiary care hospital) between 2006 and 2016. The conditions requiring resections were malignant liver diseases in 47.4% (74/156) patients and benign liver diseases in 52.6% (82/156) patients. As per the multivariate analysis, the independent predictors of postoperative complications were the estimated blood loss (mL), extent of hepatectomy and pringle maneuver. Optimization of the treatment planning could be done in pediatric liver resection with the surgical devices and management amelioration, like pringle maneuver.
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