Liver trisectionectomies for primary and secondary liver cancer in the modern era: Results of a single tertiary center

Nadia Russolillo, Alessandro Ferrero, Luca Viganò, Serena Langella, Marco Amisano, Lorenzo Capussotti

Research output: Contribution to journalArticle

Abstract

Recent advances in patient selection and surgical technique have resulted in low mortality and morbidity rates after liver resections. The aim of this study was to evaluate the operative risks of liver trisectionectomies in comparison with major resections. The data prospectively collected of patients who underwent trisectionectomies (TR Group, n = 54) and major hepatectomies (MH Group, n = 175) without biliary reconstruction were compared. Besides, the early results of patients who underwent right trisectionectomies (RTR Group, n = 36) and left trisectionectomies (LTR Group, n = 18) were compared. There was no significant difference in patient characteristics of MH and TR groups excluded for a high portal vein embolization (PVE) in TR group. Mortality (1% in MH group and 3.7% in TR group, p = 0.206) and overall morbidity rates (39% in MH group and 48% in TR group, p = 0.225) were similar between two groups. A higher proportion of patients in TR group developed liver failure (p = 0.024) and required blood transfusion (30 vs. 11%, p

Original languageEnglish
Pages (from-to)161-169
Number of pages9
JournalUpdates in Surgery
Volume62
Issue number3-4
DOIs
Publication statusPublished - 2010

Keywords

  • Elderly patients
  • Liver trisectionectomy
  • Major hepatectomy

ASJC Scopus subject areas

  • Surgery

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