Hepatic resection using ultrasonic surgical aspirator

Figures & Tables

Variable	Alive (n = 95)		Dead (n = 6)	P	Test
Age (year, mean ± SD)	54.45 ± 11.19		64.67 ± 13.19	0.034	Student t test
Liver cirrhosis	yes	20	3	NS = not significant	Chi square test
	no	75	3
Biliary-enteric	yes	25	3	NS = not significant	Chi square test
reconstruction	no	70	3
Operative time	318.33 ± 142.85		494 ± 182.29	0.009	Student t test
(minute, mean ± SD)
Operative blood transfusion	3.57 ± 3.16		9.8 ± 6.76	0.000	Student t test
(unit, mean ± SD)
Reoperation	yes	5	4	<0.001	Chi square test
	no	90	2
Complication	yes	24	6	<0.001	Chi square test
	no	71	0

Operative procedure	Number of operations
Right hepatectomy	35
Left hepatectomy	11
Right hepatectomy and segment I resection	6
Right lobectomy	6
Segment II and III resection	6
Segment IV resection	6
Wedge resection	6
Segment V resection	5
Segment V and VI resection	5
Segment VII resection	3
Segment VIII resection	2
Segment IVB and V resection	2
Right hepatectomy and wedge resection	2
Left hepatectomy and segment I resection	2
Right lobectomy and segment I resection	1
Segment V, VI, and VII resection	1
Segment VI and VII resection	1
Segment II, III and wedge resection	1
Segment V, VI and wedge resection	1
Segment IV resection	1
Total	104

Complication	Number of complications = Some patients had more than one complication	Reoperation	Result
Wound infection	7	no	good recovery
Intra-abdominal collection	5	1 patient	reoperated patient died from MSOF = multi-system organ failure .
Intra-abdominal bleeding	5	all	4 died from MSOF = multi-system organ failure .
Transient jaundice	4	no	good recovery
Pleural effusion	3	no	good recovery
Postoperative hepatic failure	3	all = All postoperative hepatic failure occurred after reoperation for intra-abdominal bleeding .	all 3 died from MSOF = multi-system organ failure .
Bile fistula	3	no	good recovery
Duodenal ulcer bleeding	1	yes	died from MSOF = multi-system organ failure .
Small bowel obstruction	1	yes	good recovery
Intra-operative cardiac arrest	1	no	died
Biliary obstruction	1	yes = Reconstruction with Roux-en-Y left hepaticojejunostomy .	good recovery
Total	34

No	Age	Sex	Date of operation	Diagnosis	Operative procedure	Op time (min)	OpBITx (unit)	CUSA or jet	Cirrhosis	Complication	Reop	Cause of death	Death POD
1	53	M	23/11/00	hilar CHCA	It lobectomy with rt hepatico– jejunostomy Roux-en-Y	570	7	yes	no	post op. bleeding, liver failure	yes	MSOF	5
2	45	F	3/1/01	peripheral CHCA	rt hepatectomy	NA	0	yes	no	intra op. cardiac arrest	no	intra op. cardiac arrest	0
3	66	M	24/9/01	HCC	segment VII resection	700	17	yes	yes	intra op. bleeding, liver failure	yes	MSOF	14
4	73	M	21/2/05	hilar CHCA	rt hepatectomy with It hepatico-jejunostomy Roux-en-Y	540	10	yes	no	post op. DU bleeding, liver failure	yes	MSOF	47
5	80	M	24/3/08	hilar CHCA	rt hepatectomy with It hepatico-jejunostomy Roux-en-Y	450	15	yes	yes	post op. bleeding, liver failure	yes	MSOF	13
6	71	M	27/2/12	HCC	Rt hepatectomy	210	0	yes	yes	post op. bleeding	yes	MSOF	38

Pathological diagnosis	Number of patients
Primary malignant tumors
Hepatocellular carcinoma	32
Hilar cholangiocarcinoma	25
Peripheral cholangiocarcinoma	17
Carcinoma of the gallbladder	5
Cystadenocarcinoma of the liver	1
Metastatic malignancy to the liver
Colorectal	9
Carcinoma of the breast	1
Carcinoma of the endometrium	1
Benign pathology
Liver
Giant hemangioma	1
Focal nodular hyperplasia	1
Cystadenoma	1
Large symptomatic simple cyst	1
Benign cyst	1
Biliary tract
Choledochal cyst	1
Primary biliary stones	1
Biliary cyst	1
Posttraumatic bile fistula	1
Intrahepatic biliary papillomatosis with sclerosing	1
cavernous hemangioma
Total	101