Risk Factors of Hospital Mortality after Re-laparotomy for Post-hepatectomy Hemorrhage
| Autor: | Tian Yang, Weifeng Yu, Meng-Chao Wu, Wan Yee Lau, Han Zhang, Li Li, Xing Huang, Jie-Wei Li, Qian Zhong, Feng Shen |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Carcinoma Hepatocellular Time Factors Cirrhosis medicine.medical_treatment Postoperative Hemorrhage Risk Factors medicine Coagulopathy Hepatectomy Humans Hospital Mortality Retrospective Studies Laparotomy business.industry Mortality rate Liver Neoplasms Perioperative Middle Aged medicine.disease Surgery Cardiac surgery Logistic Models Treatment Outcome Multivariate Analysis Emergency medicine Female Hemodialysis business Abdominal surgery |
| Zdroj: | World Journal of Surgery. 37:2394-2401 |
| ISSN: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-013-2147-x |
| Popis: | Post-hepatectomy hemorrhage (PHH) requiring re-laparotomy is a life-threatening situation and is associated with a considerably high hospital mortality rate. However, risk factors of hospital mortality in patients with this condition have not yet been investigated. The perioperative data of 258 patients with hepatocellular carcinoma who underwent re-laparotomy for PHH from 1997 to 2011 were retrospectively reviewed and evaluated by univariate and multivariate analyses to identify risk factors of hospital mortality. Hospital death occurred in 43 patients between 16 h and 40 days after re-laparotomy, and the overall mortality rate was 16.7 %. The median time lag between first recognition of active bleeding and re-laparotomy was 6 h (range 0.5–34 h). The mortality of patients undergoing late re-laparotomy (≥6 h) was much higher than those undergoing early re-laparotomy ( |
| Databáze: | OpenAIRE |
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