Hepatectomy, Liver Resection, Liver Tumors, Surgery
Conditions
Brief summary
The performance of hepatectomy for liver tumors using the thoraco-abdominal approach (TAA) versus the abdominal approach (AA) is still debated. The aim of the study is the analysis of the perioperative outcome of patients operated with or without the TAA for liver tumors.
Detailed description
The prospectively maintained database was queried. A 1:1 propensity score-matched analysis was applied. Among 744 patients, 246 undergoing hepatectomy with TAA and 246 undergoing hepatectomy with AA were compared. These patients were matched for baseline characteristics, underlying liver disease, comorbidity, tumor features, and extent of the resection. The rates of morbidity and mortality were the study endpoints.
Interventions
PROCEDUREHepatectomy
Surgery for liver tumors is the removal of a part of the liver affected by a tumor.
Sponsors
University of Milan
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* First liver surgery; * Any type of malignant liver tumor, including hepatocellular carcinoma on cirrhosis.
Exclusion criteria
* Previous history of liver surgery; * Any type of benign liver tumor; * Incomplete clinical, surgical, pathological or postoperative data; * Patients treated with radiofrequency ablation alone or in combination with surgery were also excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Short-term outcome: Occurrence of postoperative complications or death after surgery | Within 90-days after the operation | Occurrence of postoperative complications or death after surgery |
Outcome results
None listed