Comment diagnostiquer une maladie nécessitant une hépatectomie ?
Des examens d'imagerie comme l'IRM ou le scanner sont utilisés pour évaluer le foie.
Imagerie par résonance magnétiqueTomodensitométrie
#2
Quels tests sanguins sont utiles avant une hépatectomie ?
Les tests de la fonction hépatique, comme les transaminases, sont essentiels.
Tests de la fonction hépatiqueTransaminases
#3
Quels symptômes indiquent une hépatectomie possible ?
Des douleurs abdominales, jaunisse ou perte de poids peuvent indiquer une intervention.
Douleur abdominaleJaunisse
#4
Quelle imagerie est la plus précise pour le foie ?
L'IRM est souvent la méthode la plus précise pour évaluer les lésions hépatiques.
Imagerie par résonance magnétiqueLésions hépatiques
#5
Comment évaluer la taille des tumeurs hépatiques ?
Le scanner abdominal permet de mesurer la taille et l'étendue des tumeurs.
TomodensitométrieTumeurs hépatiques
Symptômes
5
#1
Quels sont les symptômes d'une maladie hépatique avancée ?
Les symptômes incluent la fatigue, l'ictère, et des douleurs abdominales.
FatigueIctère
#2
Comment se manifeste une tumeur hépatique ?
Une tumeur hépatique peut provoquer des douleurs, une masse palpable ou des nausées.
Tumeur hépatiqueNausées
#3
Quels signes indiquent une cirrhose ?
Les signes incluent l'ascite, les varices œsophagiennes et la confusion mentale.
CirrhoseAscite
#4
La perte de poids est-elle un symptôme d'alerte ?
Oui, une perte de poids inexpliquée peut signaler une maladie hépatique grave.
Perte de poidsMaladie hépatique
#5
Quels symptômes peuvent précéder une hépatectomie ?
Des symptômes comme des douleurs persistantes et des anomalies hépatiques sont fréquents.
Douleur abdominaleAnomalies hépatiques
Traitements
5
#1
Quelle est la principale indication pour une hépatectomie ?
L'hépatectomie est principalement indiquée pour les tumeurs malignes du foie.
Tumeurs malignesHépatectomie
#2
Quelles sont les alternatives à l'hépatectomie ?
Les traitements comme la chimiothérapie ou l'ablation peuvent être envisagés.
ChimiothérapieAblation
#3
Comment se déroule une hépatectomie ?
L'hépatectomie se fait sous anesthésie générale, avec une incision abdominale.
Anesthésie généraleChirurgie abdominale
#4
Quels soins postopératoires sont nécessaires ?
Les soins incluent la surveillance des signes vitaux et la gestion de la douleur.
Soins postopératoiresGestion de la douleur
#5
Quels médicaments sont prescrits après une hépatectomie ?
Des analgésiques et des antibiotiques sont souvent prescrits pour prévenir l'infection.
AnalgésiquesAntibiotiques
Complications
5
#1
Quelles sont les complications possibles d'une hépatectomie ?
Les complications incluent les infections, les hémorragies et l'insuffisance hépatique.
InfectionsHémorragies
#2
Comment prévenir les infections après une hépatectomie ?
Une bonne hygiène et des antibiotiques prophylactiques aident à prévenir les infections.
HygièneAntibiotiques prophylactiques
#3
Quels signes indiquent une hémorragie postopératoire ?
Des saignements excessifs, des douleurs abdominales intenses ou des chutes de pression.
HémorragieDouleur abdominale
#4
L'insuffisance hépatique est-elle une complication fréquente ?
Oui, l'insuffisance hépatique peut survenir, surtout si une grande partie du foie est retirée.
Insuffisance hépatiqueChirurgie hépatique
#5
Comment gérer la douleur après une hépatectomie ?
Des analgésiques et des techniques de relaxation peuvent aider à gérer la douleur.
AnalgésiquesGestion de la douleur
Facteurs de risque
5
#1
Quels sont les facteurs de risque pour les tumeurs hépatiques ?
Les facteurs incluent l'hépatite virale, l'alcoolisme et la cirrhose.
Hépatite viraleCirrhose
#2
Le tabagisme augmente-t-il le risque de cancer du foie ?
Oui, le tabagisme est un facteur de risque reconnu pour le cancer du foie.
TabagismeCancer du foie
#3
Comment l'obésité influence-t-elle le risque hépatique ?
L'obésité augmente le risque de stéatose hépatique et de maladies hépatiques chroniques.
ObésitéStéatose hépatique
#4
Les antécédents familiaux jouent-ils un rôle ?
Oui, des antécédents familiaux de cancer du foie peuvent augmenter le risque.
Antécédents familiauxCancer du foie
#5
Quel rôle joue l'exposition aux toxines ?
L'exposition à des toxines environnementales peut augmenter le risque de maladies hépatiques.
Toxines environnementalesMaladies hépatiques
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Division of Hepatobiliary and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. lfy_74@hotmail.com.
Hepato-Biliary-Pancreatic Surgery Division, Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. Electronic address: kihase-tky@umin.ac.jp.
Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China. Electronic address: shengyan@zju.edu.cn.
Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Department of Visceral and Digestive Surgery, Unit of Hepato-Bilio-Pancreatic Surgery, Nouvel Hospital Civil, University Hospital of Strasbourg, 67000 Strasbourg, France.
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A hip fracture causes high morbidity and mortality. Frailty is associated with adverse outcomes and increased costs. Frailty measured using the Hospital Frailty Risk Score (HFRS) is associated with hi...
Hip fractures account for an increasing number of hospital admissions around the world and are associated with high rates of morbidity and mortality. Frailty is increasingly recognized to be associate...
A retrospective analysis was performed on 1014 patients ≥ 60 years who presented with a hip fracture between January 2016 to June 2020. Each patient was classified into HFRS low, intermediate or high ...
Median total hospitalization costs were significantly higher in the highest HFRS (SGD$22,432) patients as compared to intermediate (SGD$18,759) and low HFRS (SGD$15,671) patients. The difference betwe...
Frailty is associated with a marked increase in total costs in hip fracture patients. HFRS proved useful in estimating LOS and outcomes for older patients with hip fractures....
Prolonged length of stay (LOS) has been associated with increased morbidity and resource utilization in various surgical procedures. We aim to determine factors associated with increased hospital stay...
The 2012-2018 National Surgical Quality Improvement Program (NSQIP) database was queried for patients undergoing tracheoplasty. Patient LOS was the primary clinical outcome. A LOS >75th percentile was...
A total of 252 patients were queried. The majority of patients were female (67.5%), white (82.4%), and over the age of 65 (77.0%). Patients had a median LOS of 7 days with the 75th percentile cutoff b...
This study elucidates factors associated with prolonged LOS in patients undergoing tracheoplasty. Patients with COPD and chronic steroid use were significantly associated with prolonged LOS....
4 Laryngoscope, 133:1938-1942, 2023....
We evaluated changes in genetic testing for neonatal-onset epilepsy and associated short-term outcomes over an 8-year period among a cohort of patients in the neonatal intensive care unit (NICU) at a ...
Our primary outcome was a change in length of stay (LOS) after 2018. We also ascertained severity of illness with the Neonatal Sequential Organ Failure Assessment (nSOFA), type and result of genetic t...
Fifty-three infants with genetic testing were included; 20 infants were tested after 2018. A total of 4160 infants in the NICU without genetic testing were used as reference. In the genetic testing gr...
In this cohort, changes in genetic testing for neonatal-onset epilepsy were associated with shorter LOS that was not explained by changes in severity of illness, birth weight, or the average LOS in th...
There are several factors that influence the length of hospital stay (LoHS) in patients with community-acquired pneumonia (CAP). There is currently no study in the literature that correlates laborator...
To find the association of laboratory parameters with the LoHS in patients with community-acquired pneumonia....
An observational, prospective, longitudinal, and controlled study was conducted in the emergency room of a secondary level hospital....
The mean time of LoHS in patients with CAP was 6.6 ± 3.0 days. The parameters of laboratory of monocytes, basophils and segmented neutrophils presented a correlation (Spearman rho) of 0.363, 0.364 and...
LoHS in patients with CAP is related to the counting of monocytes, basophils, and neutrophils at the time of the hospital admittance and it was increased in patients with SAH and patients with COPD....
Emergency general surgery patients undergoing laparoscopic surgery are at reduced risk of mortality and may require reduced length of critical care stay. This study investigated the effect of laparosc...
Data were retrieved for all patients entered into the NELA database between 2013 and 2018. Only high-risk surgical patients (P-POSSUM predicted mortality risk of ≥ 5%) were included. Patients undergoi...
A total of 66,517 high-risk patients received emergency major abdominal surgery. A laparoscopic procedure was attempted in 6998 (10.5%); of these, the procedure was competed laparoscopically in 3492 (...
The results of this study suggest that in patients at high risk of post-operative mortality, laparoscopic emergency bowel surgery leads to a reduced length of critical care stay, overall length of sta...
The Center for Medicaid and Medicare Services predicts the length of stay for pediatric burn patients based on several variables. However, many patients exceed their anticipated length. This study loo...
We conducted a retrospective chart review of 535 pediatric burn patients admitted to our academic hospital from January 2018 to December 2020. 405 patients met inclusion criteria. Data were collected ...
Average patient age was 3.36 years. 72.3% were treated for scald burns. Average length of stay was 13.5 days. 20.5% (n = 83) of patients exceeded their predicted length of stay. In comparing patients ...
Twenty percent of pediatric burn patients had a longer length of stay than predicted by the Center for Medicaid and Medicare Services. Many factors were strongly associated with a longer-than-predicte...
Length of stay (LOS) and readmissions are common measures to evaluate quality of health care. The objective of this study was to evaluate factors related to hospital LOS and readmission within 90 days...
Using a single institution database, patients who underwent CEA for carotid stenosis between 2014 and 2019 were identified. Asymptomatic carotid stenosis (no history of any stroke or transient ischemi...
There were 125 patients identified who underwent CEA for 133 carotid stenosis, and 8 patients had bilateral CEA; of which 36.8% were asymptomatic carotid stenosis with the remaining being operated on ...
More than half of patients undergoing CEA for carotid stenosis were discharged after postoperative day 1. Interventions on modifiable clinical risk factors, such as morning CEA scheduling and manageme...
Extended venous thromboembolism prophylaxis (eVTEp) is recommended for select patients who have undergone major abdominopelvic surgery to prevent postdischarge venous thromboembolism (pdVTE). Criteria...
A retrospective cohort study of patients undergoing abdominopelvic surgery from January 2016 to February 2020 was performed using data from the Michigan Surgical Quality Collaborative. pdVTE was the m...
A total of 45,637 patients underwent abdominopelvic surgery. Of which, 3063 (6.71%) were prescribed eVTEp. Two hundred eighty-five (0.62%) had pdVTE. Of the 285, 59 (21%) patients received eVTEp, whil...
pdVTE was associated with increasing LOS but not with other VTE risk factors after propensity score matching. Current guidelines for eVTEp do not include LOS. Our findings suggest that LOS >5 d should...
