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Verfasst von:Abbasi Dezfouli, Sepehr [VerfasserIn]   i
 Dooghaie Moghadam, Arash [VerfasserIn]   i
 Mayer, Philipp [VerfasserIn]   i
 Klauß, Miriam [VerfasserIn]   i
 Kauczor, Hans-Ulrich [VerfasserIn]   i
 Chang, De-Hua [VerfasserIn]   i
 Golriz, Mohammad [VerfasserIn]   i
 Mehrabi, Arianeb [VerfasserIn]   i
 Abbasi Dezfouli, Katharina [VerfasserIn]   i
Titel:Outcome of the novel description of arterial position changes after major liver resections
Titelzusatz:retrospective study
Verf.angabe:Sepehr Abbasi Dezfouli, Arash Dooghaie Moghadam, Philipp Mayer, Miriam Klauss, Hans-Ulrich Kauczor, De-Hua Chang, Mohammad Golriz, Arianeb Mehrabi and Katharina Hellbach
E-Jahr:2024
Jahr:[24 September 2024]
Umfang:7 S.
Fussnoten:Gesehen am 27.02.2025
Titel Quelle:Enthalten in: BJS open
Ort Quelle:Oxford : Oxford University Press, 2017
Jahr Quelle:2024
Band/Heft Quelle:8(2024), 5, Artikel-ID zrae110, Seite zrae110-1-zrae110-7
ISSN Quelle:2474-9842
Abstract:After major liver resections, anatomical shifts due to liver parenchymal hypertrophy and organ displacement can happen. The aim of this study was to evaluate the impact of these anatomical changes on the main abdominal arteries (coeliac trunk and superior mesenteric artery) and on patient outcomes.All patients who underwent major liver resections (between January 2010 and July 2021) and who underwent preoperative and postoperative arterial-phase contrast-enhanced abdominal CT imaging were studied. Observed arterial position changes were classified into three groups: no position changes; class I position changes (vessel displacement with or without kinking with a vessel angle greater than 105°); and class II position changes (kinking less than or equal to 105°). The Mann-Whitney test and the Kruskal-Wallis test were used to compare continuous variables and the chi-squared test and Fisher’s exact test were used to compare categorical variables. Univariable and multivariable logistic regression analyses were used to identify the risk factors for morbidity and mortality.A total of 265 patients (149 men and median age of 59 years) were enrolled. Arterial position changes were detected in a total of 145 patients (54.7%) (99 patients (37%) with class I position changes and 46 patients (18%) with class II position changes) and were observed more often after extended resection and right-sided resection (P < 0.001). Major complications were seen in 94 patients (35%) and the rate of mortality was 15% (40 patients died). Post-hepatectomy liver failure (P = 0.030), major complications (P < 0.001), and mortality (P = 0.004) occurred more frequently in patients with class II position changes. In multivariable analysis, arterial position change was an independent risk factor for post-hepatectomy liver failure (OR 2.86 (95% c.i. 1.06 to 7.72); P = 0.038), major complications (OR 2.10 (95% c.i. 1.12 to 3.93); P = 0.020), and mortality (OR 2.39 (95% c.i. 1.03 to 5.56); P = 0.042).Arterial position changes post-hepatectomy are observed in the majority of patients and are significantly related to postoperative morbidities and mortality.
DOI:doi:10.1093/bjsopen/zrae110
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1093/bjsopen/zrae110
 DOI: https://doi.org/10.1093/bjsopen/zrae110
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1918705704
Verknüpfungen:→ Zeitschrift

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