Use of the National Clinical Database to evaluate the association between preoperative liver function and postoperative complications among patients undergoing hepatectomy

Background The aim of the present study was to clarify the association between preoperative liver function and complications after hepatectomy. Methods The study included 11,686 patients registered in the National Clinical Database for 2015 for whom data on indocyanine green at 15 min (ICG15) and he...

Full description

Saved in:
Bibliographic Details
Published in:Journal of hepato-biliary-pancreatic sciences 2019-08, Vol.26 (8), p.331-340
Main Authors: Kubota, Keiichi, Aoki, Taku, Kumamaru, Hiraku, Shiraki, Takayuki, Miyata, Hiroaki, Seto, Yasuyuki, Kakeji, Yoshihiro, Yamamoto, Masakazu
Format: Article
Language:English
Subjects:
Adult
Aged
Ascites
Blood Loss, Surgical - physiopathology
Carcinoma, Hepatocellular - mortality
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - surgery
Cause of Death
Databases, Factual
Female
Hepatectomy
Hepatectomy - adverse effects
Hepatectomy - methods
Hospital Mortality
Humans
Indocyanine green
Japan
Liver
Liver failure
Liver Function Tests
Liver Neoplasms - mortality
Liver Neoplasms - pathology
Liver Neoplasms - surgery
Male
Middle Aged
Operative Time
Postoperative Complications - mortality
Postoperative Complications - physiopathology
Predictive Value of Tests
Preoperative Care - methods
Prognosis
Retrospective Studies
Risk Assessment
Surgical site infection
Surgical site infections
Survival Rate
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The aim of the present study was to clarify the association between preoperative liver function and complications after hepatectomy. Methods The study included 11,686 patients registered in the National Clinical Database for 2015 for whom data on indocyanine green at 15 min (ICG15) and hepatectomy were available. The patients were divided into four groups: group A (ICG15 CD III complications, SSI, liver failure and intractable ascites. Highlight On the basis of the National Clinical Database data, Kubota and colleagues demonstrated that operative time and intraoperative bleeding volume were significantly associated with severe post‐hepatectomy complications. ICG15 was found to be a good predictor of operative death, Clavien‐Dindo III or higher complications, surgical site infection, liver failure and intractable ascites.
ISSN:1868-6974
1868-6982
DOI:10.1002/jhbp.644