Early trends in serum phosphate and creatinine levels are associated with mortality following major hepatectomy

作者: Garth S. Herbert , Kara B. Prussing , Amber L. Simpson , Michael I. D'Angelica , Peter J. Allen

DOI: 10.1111/HPB.12483

关键词:

摘要: Abstract Background Mortality after major hepatectomy remains high and is frequently related to post‐hepatectomy liver failure (PHLF). Other than pre‐existing disease a small future remnant, few patient factors or early postoperative indicators identify patients at elevated risk for PHLF mortality. Methods Data on demographics, comorbidities, operative procedures laboratory trends were reviewed submitted (at least three Couinaud segments) malignancy during 1998–2013. These compared among who died within 90 days, survivors met the 50–50 criteria all remaining survivors. Results A total of 1528 underwent study period. Of these, 947 had metastatic colorectal cancer resection median four segments. Overall, 49 (3.2%) 90 days surgery 48 (3.1%) PHLF; 30 these survived 90 days. Operative blood loss was higher in with (1.0 l versus 0.5 l; P Conclusions Early creatinine phosphate (between day PoD 1)

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