Comparison of the Extent Classification and the New Complexity Classification of Hepatectomy for Prediction of Surgical Outcomes: a Retrospective Cohort Study

Background In predicting the risk for posthepatectomy complications, hepatectomy is traditionally classified into minor or major resection based on the number of resected segments. Recently, a new hepatectomy complexity classification was proposed. This study aimed to compare the value of the tradit...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2019-12, Vol.23 (12), p.2421-2429
Main Authors: Wu, Xiao-long, Li, Zhi-yu, Jiang, Yong, Bi, Xinyu, Zhao, Hong, Zhao, Jian-jun, Huang, Zhen, Zhang, Ye-fan, Cai, Jian-qiang
Format: Article
Language:English
Subjects:
Adult
Aged
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - surgery
Classification
Cohort analysis
Female
Gastroenterology
Gastrointestinal surgery
Hepatectomy
Hepatectomy - adverse effects
Hepatectomy - classification
Humans
Intraoperative Complications - etiology
Liver cancer
Liver Neoplasms - pathology
Liver Neoplasms - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Article
Postoperative Complications - etiology
Postoperative period
Prognosis
Retrospective Studies
Surgery
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Summary:Background In predicting the risk for posthepatectomy complications, hepatectomy is traditionally classified into minor or major resection based on the number of resected segments. Recently, a new hepatectomy complexity classification was proposed. This study aimed to compare the value of the traditional and that of the new classification in perioperative outcomes prediction. Methods Demographics, perioperative laboratory tests, intraoperative and postoperative outcomes, and follow-up data of patients with hepatocellular carcinoma who underwent liver resection were retrospectively analyzed. Results A total of 302 patients were included in our study. Multivariable analysis of intraoperative variables showed that the complexity classification could independently predict the occurrence of blood loss > 800 mL, operation time > 4 h, intraoperative transfusion, and the use of Pringle’s maneuver (all p  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-018-4020-6