Hepatic Resection in the United States

Dimick, Justin B.; Cowan, John A.; Knol, James A.; Upchurch, Gilbert R.

doi:10.1001/archsurg.138.2.185

Cited by 215 publications

(66 citation statements)

References 35 publications

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“…In-hospital mortality in this cohort was 4.8%, similar to other population-based studies in HPB procedures. 1,2,8,15,16 HPB surgery most commonly is performed at large hospitals. We found that other demographic factors such as age, public insurance and race may affect surgical results as others have shown from different surgeries.…”

Section: Discussionmentioning

confidence: 99%

Surgical Specialization and Operative Mortality in Hepato-Pancreatico-Biliary (HPB) Surgery

Csikesz

Simons

Tseng

et al. 2008

Journal of Gastrointestinal Surgery

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Section: Discussionmentioning

confidence: 99%

Surgical Specialization and Operative Mortality in Hepato-Pancreatico-Biliary (HPB) Surgery

Csikesz

Simons

Tseng

et al. 2008

Journal of Gastrointestinal Surgery

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“…Improvements in anesthetic techniques and post-operative care led to decreased mortality rates after liver surgery of less than 3% in experienced liver surgery centers [13,14,15]. With these improvements, indications for liver resection are expanding and more patients with liver metastases undergo surgical treatment [3,16].…”

Section: Introductionmentioning

confidence: 99%

Liver Resection for Metastatic Disease; A Population-Based Analysis of Trends

Ridder

Lemmens²,

Overbeek³

et al. 2016

Dig Surg

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Objective: The study aims to evaluate all patients who underwent liver resection for metastatic disease for demographics, characteristics of the primary tumor and metastasis, volume of liver resection specimens per pathology laboratory and to describe trends in surgical treatment. Methods: Data were prospectively collected using the Dutch nationwide pathology network. All pathology reports containing details on liver resections for metastatic disease between January 2001 and December 2010 were evaluated. Results: A total of 3,916 liver resections were performed in 3,699 patients with a median age of 63 years (range 1-91). The primary tumor was mainly colorectal (n = 3,256; 88.0%). The number of ‘high volume liver centers' increased from 2 to 12 in the study period, whereas the number of ‘low volume centers' decreased. The number of liver resections increased from 224 to 596 per year (p ≤ 0.0001). A significant increase was demonstrated in elderly patients, patients with multiple metastases, liver resections for smaller metastases and minor liver resections. Conclusion: Although the majority of patients were young and had solitary metastasis, indications for liver resection are expanding as indicated by increasing numbers of elderly and patients with multiple liver metastases. Patients with non-colorectal liver metastases were seldom candidates for resection.

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“…Benign liver tumors affect up to approximately 20% of the US population [1] and are the indication for hepatic resections in about 6% of patients [2]. No randomized clinical trials were found regarding elective surgery for benign liver tumors; most reported studies are retrospective or include case series with less than 60 patients [3].…”

Section: Introductionmentioning

confidence: 99%

Liver Transplantation for Benign Hepatic Tumors: A Systematic Review

Ercolani

Grazi

Pinna³

2010

Dig Surg

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Orthotopic liver transplantation (OLT) has been performed for several benign hepatic tumors. Most of these diseases are usually managed conservatively, or treated by liver resection. OLT might be required when the lesions are symptomatic, diffuse in hepatic parenchyma, causing life-threatening complications or malignant transformation cannot be ruled out. Polycystic liver disease is the most common indication for OLT. We present a review of transplantable benign hepatic lesions to evaluate the need of OLT for these diseases, to summarize in which OLT is a good therapeutic option, and to show the early and long-term survival which might be expected.

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Hepatic Resection in the United States

Cited by 215 publications

References 35 publications

Surgical Specialization and Operative Mortality in Hepato-Pancreatico-Biliary (HPB) Surgery

Surgical Specialization and Operative Mortality in Hepato-Pancreatico-Biliary (HPB) Surgery

Liver Resection for Metastatic Disease; A Population-Based Analysis of Trends

Liver Transplantation for Benign Hepatic Tumors: A Systematic Review

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