Adhesions as a risk factor for postoperative morbidity in patients undergoing repeat hepatectomy and the potential efficacy of adhesion barriers.
adhesion
adhesion barrier
colorectal liver metastasis
hepatocellular carcinoma
repeat hepatectomy
Journal
Journal of hepato-biliary-pancreatic sciences
ISSN: 1868-6982
Titre abrégé: J Hepatobiliary Pancreat Sci
Pays: Japan
ID NLM: 101528587
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
revised:
27
08
2021
received:
29
06
2021
accepted:
03
09
2021
pubmed:
21
9
2021
medline:
1
7
2022
entrez:
20
9
2021
Statut:
ppublish
Résumé
The actual efficacy of use of adhesion barriers during liver surgery remains to be fully understood. We conducted an extensive review of clinical data and operation videos of 210 patients who underwent repeat hepatectomy to clarify the factors associated with the degree of adhesion as evaluated by the TORAD score. Adhesion barriers were placed in 131 patients (Seprafilm A high degree of adhesion formation was directly associated with an increased risk of postoperative morbidity after relaparotomy, and use of adhesion barriers appears to reduce the extent of adhesion.
Sections du résumé
BACKGROUND
BACKGROUND
The actual efficacy of use of adhesion barriers during liver surgery remains to be fully understood.
METHODS
METHODS
We conducted an extensive review of clinical data and operation videos of 210 patients who underwent repeat hepatectomy to clarify the factors associated with the degree of adhesion as evaluated by the TORAD score.
RESULTS
RESULTS
Adhesion barriers were placed in 131 patients (Seprafilm
CONCLUSION
CONCLUSIONS
A high degree of adhesion formation was directly associated with an increased risk of postoperative morbidity after relaparotomy, and use of adhesion barriers appears to reduce the extent of adhesion.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
618-628Subventions
Organisme : Okinaka Memorial Institute for Medical Research
Organisme : Okinaka Memorial Institute for Medical Disease
Informations de copyright
© 2021 Japanese Society of Hepato-Biliary-Pancreatic Surgery.
Références
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