A cohort study on the risk of hepatectomy and pancreatectomy after history of abdominal surgery on other organs

Atsushi Nanashima; Masahide Hiyoshi; Naoya Imamura; Koichi Yano; Takeomi Hamada; Takashi Wada; Takahiro Nishida; Kazuyo Tsuchiya; Fumiaki Kawano; Shinsuke Takeno; Takuto Ikeda

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저자정보: Atsushi Nanashima (University of Miyazaki Faculty of Medicine) Masahide Hiyoshi (University of Miyazaki Faculty of Medicine) Naoya Imamura (University of Miyazaki Faculty of Medicine) Koichi Yano (University of Miyazaki Faculty of Medicine) Takeomi Hamada (University of Miyazaki Faculty of Medicine) Takashi Wada (University of Miyazaki Faculty of Medicine) Takahiro Nishida (University of Miyazaki Faculty of Medicine) Kazuyo Tsuchiya (University of Miyazaki Faculty of Medicine) Fumiaki Kawano (University of Miyazaki Faculty of) Shinsuke Takeno (University of Miyazaki Faculty of Medicine) Takuto Ikeda (University of Miyazaki Faculty of Medicine)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제22권 제4호

발행연도: 2018.11

수록면: 344 - 349 (6page)

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Backgrounds/Aims: The present study analyzed the postoperative outcomes in patients who underwent hepatectomy or pancreatectomy, with a history of intra-abdominal surgery involving other organs, to elucidate surgical efficacy. Methods: We examined the perioperative parameters in 28 patients who underwent hepatectomy (n=12) and pancreatectomy (n=16) after receiving prior abdominal organ resection (esophagectomy, n=2; gastrectomy, n=5; resection of small intestine, n=2; appendectomy, n=5; colorectal resection, n=9; hepatectomy, n=1; cholecystectomy, n=3; splenectomy, n=2, pancreatectomy ,right adrenectomy, nephrectomy and myoma uteri, n=1 each). Results: Age, gender, a history of comorbidities, and primary diseases were not significantly different between the groups. The present operation was predominantly indicated for liver metastases in all patients undergoing hepatectomy. Several diseases were detected in pancreaticoduodenectomy (PD) patients. Laboratory data were not significantly different between groups. Although operating time and blood loss during hepatectomy did not differ significantly between the groups, the operating time was significantly longer in patients undergoing PD compared with distal pancreatectomy (p＜0.05). Red cell blood transfusion was most frequently used in patients who underwent major hepatectomy and PD (p＜0.05). The prevalence of postoperative complications was not significantly different between groups. Hospital death was not observed and the period of hospital stay did not differ between groups. Conclusions: Carefully scheduled hepatectomy or pancreatectomy is safe even in cases with prior abdominal surgery under the present strategy.

#Hepatectomy #Pancreatectomy #Previous history #Abdominal surgeries #Operative difficulties

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