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《Journal of Chinese Practical Diagnosis and Therapy》 2013-05
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Related factors of complications after hepatectomy

LIU Heng*,LI Da-jiang,LIU Jian(*The First Department of Surgery,the Fifth People's Hospital of Chengdu,Chengdu 611130,China)  
Objective To investigate the related factors of the complications after hepatectomy.Methods The data of 320 patients receiving hepatectomy were retrospectively analyzed.Logistic regression was used to analyze the risk factors for postoperative complications.Results Complications occurred in 72 patients,including pleural effusion ascites,biliary fistula,upper gastrointestinal bleeding,and abdominal infection,etc.There were significant differences in the incidence of postoperative complications in age,gender,primary disease,combined diseases,hepatic cirrhosis,Child grading,blocking duration,resection area,operation duration,intraoperative bleeding volume,perioperative blood transfusion volume and hospitalization duration(P0.05).Logistic analysis showed age,intraoperative bleeding volume,operation duration and perioperative blood transfusion volume were independent risk factors for postoperative complications.Conclusion The measures as to shorten the time and reduce intraoperative bleeding volume and perioperative blood transfusion volume should be done during hepatectomy and the operation should be chosen carefully in the elder patients.
【CateGory Index】: R657.3
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