Postoperative hepatic failure is a dreadful complication after major hepatectomy and carries high morbidity and mortality rates. In this study, we assessed the accuracy of the 50/50 criteria (bilirubin >2.9 mg/dL and international normalized ratio >1.7 on postoperative day 5) and the Mullen criteria (bilirubin peak >7 mg/dL on postoperative days 1-7) in predicting death from hepatic failure in patients undergoing right hepatectomy only. In addition, we identified prognostic factors linked to intra-hospital morbidity and mortality in these patients.
Filicori, F., Keutgen, X.M., Zanello, M., Ercolani, G., Di Saverio, S., Sacchetti, F., et al. (2012). Prognostic criteria for postoperative mortality in 170 patients undergoing major right hepatectomy. HEPATOBILIARY & PANCREATIC DISEASES INTERNATIONAL, 11(5), 507-512.
Prognostic criteria for postoperative mortality in 170 patients undergoing major right hepatectomy
ZANELLO, MATTEO;ERCOLANI, GIORGIO;DI SAVERIO, SALOMONE;PINNA, ANTONIO DANIELE;GRAZI, GIAN LUCA
2012
Abstract
Postoperative hepatic failure is a dreadful complication after major hepatectomy and carries high morbidity and mortality rates. In this study, we assessed the accuracy of the 50/50 criteria (bilirubin >2.9 mg/dL and international normalized ratio >1.7 on postoperative day 5) and the Mullen criteria (bilirubin peak >7 mg/dL on postoperative days 1-7) in predicting death from hepatic failure in patients undergoing right hepatectomy only. In addition, we identified prognostic factors linked to intra-hospital morbidity and mortality in these patients.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
