关键词: 原发性肝癌, 术后并发症, 严重程度, 肝切除术

Abstract:

Risk factors of complications severity after hepatectomy for primary liver cancer: A report of 84 patients                  SUN Peng，WU Li-qun，WANG Zu-sen，et al. Department of Hepatobiliary Surgery, the Affiliated Hospital of Qingdao University，Qingdao 266003，China
Corresponding author：WU Li-qun，E-mail：wulq5810@126.com
Abstract    Objective    To explore the risk factors of complications’ severity after hepatectomy for primary liver cancer. Methods    The clinical data of 84 patients with comlications who underwent hepatectomy for primary liver cancer from January 2011 to December 2012 in Department of Hepatobiliary Surgery, the Affiliated Hospital of Qingdao University were analyzed retrospectively. The patients who had postoperative complications were divided into two groups according to the severity of complications: the mild group and heavy group，respectively. The predictors of severe complications were studied by univariate and multivariate analysis. Results    84 patients（94 times of complications）included 59 patients in mild group and 25 patients in heavy group.  There was no death related to complications by the univariate analysis，Child-Pugh B grade，bleeding≥500 mL and intraoperative blood transfusion were related to severe complications (P<0.05). By the multivariate analysis of the heavy group，Child-Pugh B grade was an independent risk factor（OR=5.139，95%CI 1.103-23.944，P=0.033）. Conclusion    The patients of primary liver cancer with Child-Pugh B grade were more likely to suffered from severe postoperative complications.

Key words: primary liver cancer, postoperative complications, severity, hepatectomy