Short-term Outcomes of Liver Resection in Patients With Hemodialysis

BACKGROUNDThe number of patients with hemodialysis is increasing increased yearly. Few reports are available on hepatobiliary and gastrointestinal surgery in these patients. PATIENTS AND METHODSA total of 222 patients who underwent partial liver resection or segmentectomy in our hospital between Jan...

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Published in:In vivo (Athens) 2021-07, Vol.35 (4), p.2465-2468
Main Authors: KANAKA, SHINTARO, AOKI, YUTO, YOSHIOKA, MASATO, KAWANO, YOUICHI, SHIMIZU, TETSUYA, KANDA, TOMOHIRO, KONDO, RYOTA, KANEYA, YOHEI, YOSHIDA, HIROSHI
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container_end_page 2468
container_issue 4
container_start_page 2465
container_title In vivo (Athens)
container_volume 35
creator KANAKA, SHINTARO
AOKI, YUTO
YOSHIOKA, MASATO
KAWANO, YOUICHI
SHIMIZU, TETSUYA
KANDA, TOMOHIRO
KONDO, RYOTA
KANEYA, YOHEI
YOSHIDA, HIROSHI
description BACKGROUNDThe number of patients with hemodialysis is increasing increased yearly. Few reports are available on hepatobiliary and gastrointestinal surgery in these patients. PATIENTS AND METHODSA total of 222 patients who underwent partial liver resection or segmentectomy in our hospital between January 2015 and September 2019 were included in this study. Patients were divided into the hemodialysis group (n=9) and non-hemodialysis group (n=213). RESULTSNo significant difference was observed in postoperative complications between the hemodialysis and non-hemodialysis group. The hemodialysis group had a significantly higher infectious complication rates than the non-hemodialysis group (33.3% vs. 8.0%, p=0.009). In logistic regression analysis, hemodialysis was only a significant risk factor for postoperative infectious complications (OR=5.61, 95% CI=1.12-28.20, p=0.036). CONCLUSIONLiver resections, at least segmentectomy or smaller, is acceptable in patients on hemodialysis. However, these patients may have a higher risk of postoperative infectious complications than other patients.
doi_str_mv 10.21873/invivo.12526
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Few reports are available on hepatobiliary and gastrointestinal surgery in these patients. PATIENTS AND METHODSA total of 222 patients who underwent partial liver resection or segmentectomy in our hospital between January 2015 and September 2019 were included in this study. Patients were divided into the hemodialysis group (n=9) and non-hemodialysis group (n=213). RESULTSNo significant difference was observed in postoperative complications between the hemodialysis and non-hemodialysis group. The hemodialysis group had a significantly higher infectious complication rates than the non-hemodialysis group (33.3% vs. 8.0%, p=0.009). In logistic regression analysis, hemodialysis was only a significant risk factor for postoperative infectious complications (OR=5.61, 95% CI=1.12-28.20, p=0.036). CONCLUSIONLiver resections, at least segmentectomy or smaller, is acceptable in patients on hemodialysis. However, these patients may have a higher risk of postoperative infectious complications than other patients.</description><identifier>ISSN: 0258-851X</identifier><identifier>EISSN: 1791-7549</identifier><identifier>DOI: 10.21873/invivo.12526</identifier><identifier>PMID: 34182532</identifier><language>eng</language><publisher>International Institute of Anticancer Research</publisher><ispartof>In vivo (Athens), 2021-07, Vol.35 (4), p.2465-2468</ispartof><rights>Copyright 2021, International Institute of Anticancer Research 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286520/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286520/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>KANAKA, SHINTARO</creatorcontrib><creatorcontrib>AOKI, YUTO</creatorcontrib><creatorcontrib>YOSHIOKA, MASATO</creatorcontrib><creatorcontrib>KAWANO, YOUICHI</creatorcontrib><creatorcontrib>SHIMIZU, TETSUYA</creatorcontrib><creatorcontrib>KANDA, TOMOHIRO</creatorcontrib><creatorcontrib>KONDO, RYOTA</creatorcontrib><creatorcontrib>KANEYA, YOHEI</creatorcontrib><creatorcontrib>YOSHIDA, HIROSHI</creatorcontrib><title>Short-term Outcomes of Liver Resection in Patients With Hemodialysis</title><title>In vivo (Athens)</title><description>BACKGROUNDThe number of patients with hemodialysis is increasing increased yearly. Few reports are available on hepatobiliary and gastrointestinal surgery in these patients. PATIENTS AND METHODSA total of 222 patients who underwent partial liver resection or segmentectomy in our hospital between January 2015 and September 2019 were included in this study. Patients were divided into the hemodialysis group (n=9) and non-hemodialysis group (n=213). RESULTSNo significant difference was observed in postoperative complications between the hemodialysis and non-hemodialysis group. The hemodialysis group had a significantly higher infectious complication rates than the non-hemodialysis group (33.3% vs. 8.0%, p=0.009). In logistic regression analysis, hemodialysis was only a significant risk factor for postoperative infectious complications (OR=5.61, 95% CI=1.12-28.20, p=0.036). CONCLUSIONLiver resections, at least segmentectomy or smaller, is acceptable in patients on hemodialysis. However, these patients may have a higher risk of postoperative infectious complications than other patients.</description><issn>0258-851X</issn><issn>1791-7549</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVkEtLAzEUhYMotlaX7mfpZmomr0k2gtRHhULFB7oLmUxiIzOTmmQG-u8tbRFcncU9fPfwAXBZwCkqeImvXTe4wU8LRBE7AuOiFEVeUiKOwRgiynNOi88ROIvxG0JWQohOwQiTgiOK0Rjcva58SHkyoc2WfdK-NTHzNlu4wYTsxUSjk_Nd5rrsWSVnuhSzD5dW2dy0vnaq2UQXz8GJVU00F4ecgPeH-7fZPF8sH59mt4tcYwRTXsKqUjWlQglorWAVZLbmDGuGKamI4LauakOstRyJynClKYGQcMY1xiWp8QTc7LnrvmpNrbdrgmrkOrhWhY30ysn_l86t5JcfJEecUQS3gKsDIPif3sQkWxe1aRrVGd9HiShhVAgBybaa76s6-BiDsX9vCih35uXevNyZx78G1Xgx</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>KANAKA, SHINTARO</creator><creator>AOKI, YUTO</creator><creator>YOSHIOKA, MASATO</creator><creator>KAWANO, YOUICHI</creator><creator>SHIMIZU, TETSUYA</creator><creator>KANDA, TOMOHIRO</creator><creator>KONDO, RYOTA</creator><creator>KANEYA, YOHEI</creator><creator>YOSHIDA, HIROSHI</creator><general>International Institute of Anticancer Research</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210701</creationdate><title>Short-term Outcomes of Liver Resection in Patients With Hemodialysis</title><author>KANAKA, SHINTARO ; AOKI, YUTO ; YOSHIOKA, MASATO ; KAWANO, YOUICHI ; SHIMIZU, TETSUYA ; KANDA, TOMOHIRO ; KONDO, RYOTA ; KANEYA, YOHEI ; YOSHIDA, HIROSHI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-70bbad559a90ff96b06fd863c6354b498fdbde4fff829be8ac54004868c3374d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KANAKA, SHINTARO</creatorcontrib><creatorcontrib>AOKI, YUTO</creatorcontrib><creatorcontrib>YOSHIOKA, MASATO</creatorcontrib><creatorcontrib>KAWANO, YOUICHI</creatorcontrib><creatorcontrib>SHIMIZU, TETSUYA</creatorcontrib><creatorcontrib>KANDA, TOMOHIRO</creatorcontrib><creatorcontrib>KONDO, RYOTA</creatorcontrib><creatorcontrib>KANEYA, YOHEI</creatorcontrib><creatorcontrib>YOSHIDA, HIROSHI</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>In vivo (Athens)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KANAKA, SHINTARO</au><au>AOKI, YUTO</au><au>YOSHIOKA, MASATO</au><au>KAWANO, YOUICHI</au><au>SHIMIZU, TETSUYA</au><au>KANDA, TOMOHIRO</au><au>KONDO, RYOTA</au><au>KANEYA, YOHEI</au><au>YOSHIDA, HIROSHI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short-term Outcomes of Liver Resection in Patients With Hemodialysis</atitle><jtitle>In vivo (Athens)</jtitle><date>2021-07-01</date><risdate>2021</risdate><volume>35</volume><issue>4</issue><spage>2465</spage><epage>2468</epage><pages>2465-2468</pages><issn>0258-851X</issn><eissn>1791-7549</eissn><abstract>BACKGROUNDThe number of patients with hemodialysis is increasing increased yearly. Few reports are available on hepatobiliary and gastrointestinal surgery in these patients. PATIENTS AND METHODSA total of 222 patients who underwent partial liver resection or segmentectomy in our hospital between January 2015 and September 2019 were included in this study. Patients were divided into the hemodialysis group (n=9) and non-hemodialysis group (n=213). RESULTSNo significant difference was observed in postoperative complications between the hemodialysis and non-hemodialysis group. The hemodialysis group had a significantly higher infectious complication rates than the non-hemodialysis group (33.3% vs. 8.0%, p=0.009). In logistic regression analysis, hemodialysis was only a significant risk factor for postoperative infectious complications (OR=5.61, 95% CI=1.12-28.20, p=0.036). CONCLUSIONLiver resections, at least segmentectomy or smaller, is acceptable in patients on hemodialysis. However, these patients may have a higher risk of postoperative infectious complications than other patients.</abstract><pub>International Institute of Anticancer Research</pub><pmid>34182532</pmid><doi>10.21873/invivo.12526</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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title Short-term Outcomes of Liver Resection in Patients With Hemodialysis
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