The aim of this study is to determine the risk factors for major complications following liver resection in the setting of a general surgery-teaching department in Morocco, North Africa
Over the past 20 years, the refinement of liver surgery techniques, anesthesiology and perioperative management has dramatically improved the safety of liver resection patients. It has also led to a concomitant extension of indications for a growing number of patients with complex benign or malignant hepatobiliary diseases and/or high risk surgeries. Published complication rates and risk prediction models and recommendations for patients undergoing liver resection primarily stem from far East or Western high-volume specialized centers. In developing countries, including those in North Africa, specific constraints (e.g., endemic indications, such as liver cystic hydatidosis, blood shortage, and the scarcity of liver surgeons and intensive care providers) may impact liver resection outcomes but they are rarely addressed in the literature. The aim of this study was to determine the risk factors for major complications following liver resection in the setting of a general surgery-teaching department in Morocco, North Africa
Study Type
OBSERVATIONAL
Enrollment
213
Open or laparoscopic, major or minor hepatectomy performed using the clamp-crush technique and intermittent clamping of hepatic pedicle
Ibn Sina Hospital, Surgical department A
Rabat, Morocco
90-day Mortality rate
Death within 90 days of surgical procedure
Time frame: 90 days from surgery
90-day Complication rate
Defined by Clavien-Dindo grade I to IV within90 days of surgical procedure
Time frame: 90 days from surgery
Risk factor of major complication at 90-day
defined by multivariate logistic regression of 90 day complication with Clavien-Dindo more than grade III
Time frame: 90 days from surgery
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