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Influence of biliary and vascular resection types on morbidity in hepatectomies with vascular involvement.
Silva, Jonatha C F da; Diniz, Alessandro L; Torres, Silvio M; Silva, Dante A; Ribeiro, Héber S D C; de Godoy, André Luiz; de Farias, Igor Correia; Felismino, Tiago Cordeiro; da Costa Junior, Wilson L; Coimbra, Felipe José F.
Afiliação
  • Silva JCFD; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • Diniz AL; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • Torres SM; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • Silva DA; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • Ribeiro HSDC; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • de Godoy AL; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • de Farias IC; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • Felismino TC; Department of Clinical Oncology, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • da Costa Junior WL; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
  • Coimbra FJF; Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil.
J Surg Oncol ; 2024 Aug 05.
Article em En | MEDLINE | ID: mdl-39104086
ABSTRACT

INTRODUCTION:

Hepatectomies associated with vascular resections pose a technical challenge for surgeons, involving multiple reconstruction techniques. Moreover, adding clinical and surgical risks in the postoperative setting of these complex procedures are mainly due to prolonged surgical periods and potential complications inherent to vascular manipulation. Leveraging the expertise of a Cancer Center, we propose an institutional assessment utilizing the case series from A. C. Camargo Cancer Center in hepatectomies associated with vascular resection, evaluating postoperative complications and outcomes while highlighting clinical, laboratory, pathological, and surgical factors that may influence results.

OBJECTIVE:

To assess mortality and morbidity associated with hepatectomies involving vascular resection. MATERIALS AND

METHODS:

From a prospective database, a study was performed evaluating postoperative survival and morbidity using scoring systems such as Clavien-Dindo through a cohort analysis.

RESULTS:

From a total of 1021 liver resections for a period of 10 years, 31 cases were evaluated from a unique cancer center in Brazil! Factors such as the performance of major hepatectomies, the need for blood transfusion, and the administration of neoadjuvant or adjuvant systemic therapy did not appear to influence the outcome of morbidity or mortality. However, the resection of the associated bile duct and the type of vascular resection seemed to influence morbidity outcomes with statistical significance (p = 0.006+ …).

CONCLUSION:

Hepatectomies associated with vascular resections are safe in selected cases and when performed in referral centers. Factors such as associated bile duct resection and type of vascular resection should be considered for procedure indication.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Surg Oncol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Surg Oncol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos