Liver Diseases
Conditions
Keywords
Audit, Liver resection, Surgical complications, non-Eastern/non-Western, Quality improvement
Brief summary
The aim of this study is to determine the risk factors for major complications following liver resection in the setting of a general surgery-teaching department in Morocco, North Africa
Detailed description
Over the past 20 years, the refinement of liver surgery techniques, anesthesiology and perioperative management has dramatically improved the safety of liver resection patients. It has also led to a concomitant extension of indications for a growing number of patients with complex benign or malignant hepatobiliary diseases and/or high risk surgeries. Published complication rates and risk prediction models and recommendations for patients undergoing liver resection primarily stem from far East or Western high-volume specialized centers. In developing countries, including those in North Africa, specific constraints (e.g., endemic indications, such as liver cystic hydatidosis, blood shortage, and the scarcity of liver surgeons and intensive care providers) may impact liver resection outcomes but they are rarely addressed in the literature. The aim of this study was to determine the risk factors for major complications following liver resection in the setting of a general surgery-teaching department in Morocco, North Africa
Interventions
PROCEDUREliver resection
Open or laparoscopic, major or minor hepatectomy performed using the clamp-crush technique and intermittent clamping of hepatic pedicle
Sponsors
Moroccan Society of Surgery
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* all patients who underwent an hepatectomy * between january 2010 and December 2015
Exclusion criteria
* All patient who only underwent liver biopsy with no resection * Patients non operated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 90-day Mortality rate | 90 days from surgery | Death within 90 days of surgical procedure |
| 90-day Complication rate | 90 days from surgery | Defined by Clavien-Dindo grade I to IV within90 days of surgical procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk factor of major complication at 90-day | 90 days from surgery | defined by multivariate logistic regression of 90 day complication with Clavien-Dindo more than grade III |
Countries
Morocco
Outcome results
None listed