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The risk factors and prediction systems for posthepatectomy complications
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摘要:
肝切除术手术方式及过程较一般手术复杂,虽然其术后病死率较20世纪明显下降,但其术后并发症的发生率依旧居高不下。目前,关于肝切除术后并发症的危险因素及预测系统的研究依旧较少。介绍了肝切除术后并发症的定义,归纳分析了近年来各研究指出的胆漏、肝衰竭、术后出血以及Clavien-Dindo并发症的危险因素与预测系统,总结了术后并发症的共同危险因素:血小板减少、肝脏的非解剖性切除、大范围的肝脏组织切除以及低水平的血清白蛋白。通过提高外科人士对共同危险因素的认识与重视,降低术后并发症发生率,提高手术治疗满意度。
Abstract:Hepatectomy has more complex surgical procedure and process than general surgeries.Although postoperative mortality of hepatectomy has been reduced significantly in this century, the incidence rate of postoperative complications remains at a high level.At present, there are fewer studies on risk factors and prediction systems for posthepatectomy complications.This article introduces the definition of posthepatectomy complications, analyzes the risk factors and prediction systems for bile leakage, liver failure, postoperative hemorrhage, and Clavien-Dindo complication pointed out in recent studies, and summarizes the common risk factors for posthepatectomy complications, i.e., thrombocytopenia, non-anatomic liver resection, extensive liver tissue resection, and a low serum level of albumin.We hope to raise the awareness of these common risk factors among surgeons, reduce the incidence rate of postoperative complications, and improve the degree of satisfaction with surgical treatment.
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Key words:
- hepatectomy /
- postoperative complications /
- risk factors /
- review
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