Copyright
©The Author(s) 2017.
World J Gastroenterol. May 28, 2017; 23(20): 3702-3712
Published online May 28, 2017. doi: 10.3748/wjg.v23.i20.3702
Published online May 28, 2017. doi: 10.3748/wjg.v23.i20.3702
All patients (n = 54) | Operative death | P value | ||
Yes (n = 9) | No (n = 45) | |||
Age (yr) | 49.7 (39-72) | 53(45-72) | 49 (39-67) | 0.249 |
Sex ratio (M:F) | 34:20 | 6:3 | 28:17 | 0.801 |
Preoperative chemotherapy | 4 | 1 | 3 | 1.000 |
Preoperative PVE | 9 | 2 | 7 | 1.000 |
Tumor type | ||||
Colorectal metastases | 8 | 2 | 6 | 0.864 |
Hepatocellular carcinoma | 11 | 2 | 9 | 1.000 |
Cholangiocarcinoma | 26 | 4 | 22 | 1.000 |
Alveolar echinococcosis | 9 | 1 | 8 | 1.000 |
Preoperative TB > 34 μmol/L | 6 | 1 | 5 | 1.000 |
ICG-R15 over 10% | 9 | 3 | 6 | 0.327 |
Child-Pugh B | 6 | 4 | 2 | 0.004 |
No. of segments resected | 4.7 (3-6) | 5.1 (4-6) | 4.6 (4-6) | 0.189 |
Classifications | 0.157 | |||
I1H1 | 9 | 0 | 9 | 0.328 |
I2H1 | 23 | 4 | 19 | 1.000 |
I1H2 | 5 | 0 | 5 | 0.576 |
I2H2 | 12 | 5 | 7 | 0.028 |
I3H1 | 5 | 0 | 5 | 0.576 |
IVC replacement | ||||
Yes (I2 + 2 cases in I3) | 37 | 9 | 28 | 0.044 |
No (I1 + 3 cases in I3) | 17 | 0 | 17 | |
Hepatic vein reconstruction | ||||
Yes (H2) | 17 | 4 | 13 | 0.600 |
No (H1) | 37 | 5 | 32 | |
Duration of ischemia (min) | 68.7 (0-112) | 87.7 (62-112) | 64.9 (0-106) | < 0.001 |
Operative blood loss (mL) | 721.5 (310-1250) | 769.0 (550-1250) | 712.3 (310-780) | 0.389 |
Blood transfused amount (mL) | 174.1 (0-950) | 219.4 (0-950) | 165.8 (0-850) | 0.501 |
Duration of operation (min) | 554.8 (210-1150) | 709.6 (310-1150) | 523.7 (210-860) | < 0.001 |
R0 resection | 49 | 7 | 42 | 0.401 |
Tumor size | 8.7 (2.9-16.1) | 9.5 (8.8-16.1) | 8.6 (2.9-15.4) | 0.062 |
- Citation: Li W, Han J, Wu ZP, Wu H. Surgical management of liver diseases invading the hepatocaval confluence based on IH classification: The surgical guideline in our center. World J Gastroenterol 2017; 23(20): 3702-3712
- URL: https://www.wjgnet.com/1007-9327/full/v23/i20/3702.htm
- DOI: https://dx.doi.org/10.3748/wjg.v23.i20.3702