Your browser doesn't support javascript.
loading
Clinical impact of various drain-fluid data for the postoperative complications after hepatectomy: criteria of prophylactic drain removal on postoperative day 1.
Mori, Haruki; Maehira, Hiromitsu; Nitta, Nobuhito; Maekawa, Takeru; Ishikawa, Hajime; Takebayashi, Katsushi; Kojima, Masatsugu; Kaida, Sachiko; Miyake, Toru; Tani, Masaji.
Afiliación
  • Mori H; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
  • Maehira H; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan. hiro0103@belle.shiga-med.ac.jp.
  • Nitta N; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
  • Maekawa T; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
  • Ishikawa H; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
  • Takebayashi K; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
  • Kojima M; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
  • Kaida S; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
  • Miyake T; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
  • Tani M; Department of Surgery, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, 520-2192, Shiga, Japan.
Langenbecks Arch Surg ; 409(1): 209, 2024 Jul 09.
Article en En | MEDLINE | ID: mdl-38980432
ABSTRACT

PURPOSE:

Prophylactic drains reported to be useful to treat postoperative bile leakage (POBL) and reduce re-intervention after hepatectomy. However, prophylactic drains should remove in the early postoperative period. This study aimed to assess the association between postoperative complications and the drain-fluid data on postoperative day (POD) 1.

METHODS:

Medical records of 530 patients who underwent hepatectomy were retrospectively reviewed. We evaluated the drain-fluid data on POD 1, such as bilirubin (BIL), aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP) and drain discharge volume. These variables were compared between patients with and without postoperative complications such as POBL and abdominal abscess not due to POBL.

RESULTS:

POBL was found in 44 patients (8.3%), PHLF was in 51 patients (9.6%), and abdominal abscess not due to POBL was in 21 patients (4.0%). Regarding POBL, drain-fluid BIL concentration and drain discharge volume was higher in the POBL group (p < 0.001 and p < 0.001, respectively). However, drain-fluid AST, ALT, and ALP concentrations were not different between two groups. As to the abdominal abscess not due to POBL, all drain-fluid data were not significantly different. Multivariate analysis for predicting POBL showed that the drain-fluid BIL concentration ≥ 2.68 mg/dL was an independent predictor (p < 0.001). In the subgroup analyses according to the type of hepatectomy, the drain-fluid BIL concentration was an independent predictor for POBL after both non-anatomical and anatomical hepatectomy.

CONCLUSION:

The drain-fluid BIL concentration on POD 1 is useful in predicting POBL after hepatectomy.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Drenaje / Hepatectomía Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Langenbecks Arch Surg Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Drenaje / Hepatectomía Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Langenbecks Arch Surg Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Alemania