ダウンロード数: 288
このアイテムのファイル:
ファイル | 記述 | サイズ | フォーマット | |
---|---|---|---|---|
s00595-014-0839-y.pdf | 214.25 kB | Adobe PDF | 見る/開く |
タイトル: | Impact of preoperative uncontrollable hepatic hydrothorax and massive ascites in adult liver transplantation. |
著者: | Endo, Kosuke Iida, Taku Yagi, Shintaro https://orcid.org/0000-0001-7465-5761 (unconfirmed) Yoshizawa, Atsushi Fujimoto, Yasuhiro Ogawa, Kohei Ogura, Yasuhiro Mori, Akira Kaido, Toshimi Uemoto, Shinji |
著者名の別形: | 遠藤, 耕介 |
キーワード: | Hepatic hydrothorax Liver transplantation Massive ascites Bacteremia Mortality |
発行日: | Dec-2014 |
出版者: | Springer Japan |
誌名: | Surgery today |
巻: | 44 |
号: | 12 |
開始ページ: | 2293 |
終了ページ: | 2299 |
抄録: | [Purpose]Uncontrollable hepatic hydrothorax and massive ascites (H&MA) requiring preoperative drainage are sometimes encountered in liver transplantation (LT). We retrospectively analyzed the characteristics of such patients and the impact of H&MA on the postoperative course. [Methods]We evaluated 237 adult patients who underwent LT in our institute between April 2006 and October 2010. [Results]Recipients with uncontrollable H&MA (group HA: n = 36) had more intraoperative bleeding, higher Child–Pugh scores, lower serum albumin concentrations and higher blood urea nitrogen concentrations than those without uncontrollable H&MA (group C:n = 201). They were also more likely to have preoperative hepatorenal syndrome and infections. The incidence of postoperative bacteremia was higher (55.6 vs. 46.7 %, P = 0.008) and the 1- and 3-year survival rates were lower (1 year: 58.9 vs. 82.9 %; 3 years: 58.9 vs. 77.7 %; P = 0.003) in group HA than in group C. The multivariate proportional regression analyses revealed that uncontrollable H&MA and the Child–Pugh score were independent risk factors for the postoperative prognosis. [Conclusions]Postoperative infection control may be an important means of improving the outcome for patients with uncontrollable H&MA undergoing LT, and clinicians should strive to perform surgery before H&MA becomes uncontrollable. |
記述: | First online: 08 February 2014 |
著作権等: | The final publication is available at Springer via http://dx.doi.org/10.1007/s00595-014-0839-y. The full-text file will be made open to the public on 08 February 2015 in accordance with publisher's 'Terms and Conditions for Self-Archiving'. This is not the published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 |
URI: | http://hdl.handle.net/2433/202913 |
DOI(出版社版): | 10.1007/s00595-014-0839-y |
PubMed ID: | 24509883 |
出現コレクション: | 学術雑誌掲載論文等 |
このリポジトリに保管されているアイテムはすべて著作権により保護されています。