Outcomes of abdominal surgeries in cirrhotic patients performed by liver transplant surgeons: Are these safe?
| Autor: | Jorge Arroyo, Ahmad Nakshabandi, Reinaldo E. Claudio, Alexia Athienitis, Iain Hillenberg, Angel Alsina, Manohar Lahoti, Alejandra Mallorga, Sadaf Aslam, Nyingi Kemmer |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Liver Cirrhosis medicine.medical_specialty Cirrhosis Gallbladder Diseases 03 medical and health sciences 0302 clinical medicine Statistical significance medicine Humans Hernia In patient Survival rate Herniorrhaphy Aged Retrospective Studies Surgeons business.industry Mortality rate Retrospective cohort study General Medicine Middle Aged medicine.disease Hernia Ventral Liver Transplantation Surgery Treatment Outcome Cholecystectomy Laparoscopic Elective Surgical Procedures 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Clinical Competence business Complication Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 216:518-523 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2018.05.006 |
| Popis: | Background Elective abdominal surgeries in patients with cirrhosis have been discouraged due to the high risk of complications. This study investigates the outcomes and safety of surgeries for hernias, and laparoscopic cholecystectomies in cirrhotic patients. Methods A retrospective cohort study that compared 91 cirrhotic patients to a control group of non-cirrhotic patients operated by liver transplant surgeons was conducted between 2009 and 2015. Results No statistical significance found in re-admission rates or complication rates (p = 0.21). Hernia recurrent rates were similar (p = 0.27). Survival rates among cirrhotic versus non cirrhotic group was 93.4% and 98.9% respectively (p = 0.0539). Amongst the 91 cirrhotic patients, there was a 100% survival rate for both ventral herniorrhaphies and laparoscopic cholecystectomy. Survival in umbilical and inguinal herniorrhaphies was 88.2% and 89.5% respectively. Mortality rate for umbilical and inguinal hernias was 11.7% and10.5% respectively. Mortality by Child-Pugh (CP) class were; 8.8% for CP B and 10.7% for CP class C. All CP class A patients survived. Conclusions Our study indicates that elective operations could be performed safely with acceptable mortality in cirrhotic patients. |
| Databáze: | OpenAIRE |
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