Risk Factors for Major Complications After Liver Resection: Audit of a Non-Eastern/Non-Western Experience
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Moroccan Society of Surgery
- Enrollment
- 213
- Locations
- 1
- Primary Endpoint
- 90-day Mortality rate
Overview
Brief Summary
The aim of this study is to determine the risk factors for major complications following liver resection in the setting of a general surgery-teaching department in Morocco, North Africa
Detailed Description
Over the past 20 years, the refinement of liver surgery techniques, anesthesiology and perioperative management has dramatically improved the safety of liver resection patients. It has also led to a concomitant extension of indications for a growing number of patients with complex benign or malignant hepatobiliary diseases and/or high risk surgeries.
Published complication rates and risk prediction models and recommendations for patients undergoing liver resection primarily stem from far East or Western high-volume specialized centers. In developing countries, including those in North Africa, specific constraints (e.g., endemic indications, such as liver cystic hydatidosis, blood shortage, and the scarcity of liver surgeons and intensive care providers) may impact liver resection outcomes but they are rarely addressed in the literature.
The aim of this study was to determine the risk factors for major complications following liver resection in the setting of a general surgery-teaching department in Morocco, North Africa
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •all patients who underwent an hepatectomy
- •between january 2010 and December 2015
Exclusion Criteria
- •All patient who only underwent liver biopsy with no resection
- •Patients non operated
Outcomes
Primary Outcomes
90-day Mortality rate
Time Frame: 90 days from surgery
Death within 90 days of surgical procedure
90-day Complication rate
Time Frame: 90 days from surgery
Defined by Clavien-Dindo grade I to IV within90 days of surgical procedure
Secondary Outcomes
- Risk factor of major complication at 90-day(90 days from surgery)