Journal article
Association for Academic Surgery Association Between Preoperative Angioembolization and Bleeding Complications in Patients With Benign Liver Tumors: Analysis of a National Database
The Journal of surgical research, Vol.291, pp.536-545
11/01/2023
DOI: 10.1016/j.jss.2023.07.004
PMID: 37540971
Abstract
Introduction: The role of angioembolization (AE) in patients with benign liver diseases is an area of active research. This study aims to assess any difference in liver resection outcomes in patients with benign tumors dependent on utilization of preoperative AE.Methods: A retrospective cohort study of patients undergoing elective liver resections for benign liver tumors was performed using the National Surgical Quality Improvement Program database (2014-2019). Only tumors of 5 cm in size or more were included in the analysis. We categorized the patients based on preoperative AE (AE + versus AE -). The primary outcome measured included bleeding complications within 72 h. The secondary outcomes were to determine predictors of bleeding.Results: After propensity score matching, there were 103 patients in both groups. There was no difference in intraoperative or postoperative blood transfusions within 72 h of surgery (14.6% versus 12.6%; P = 0.68), reoperation (1.9% versus 1.9%; P = 1), or mortality (1.0% versus 0.0%; P = 1) between the two groups. Multivariate regression analysis revealed an open surgical approach (odds ratio [OR]: 4.59 confidence interval [CI]: 2.94-7.16), use of Pringle maneuver (OR: 1.7, CI: 1.26-2.310), preoperative anemia (OR: 2.79, CI: 2.05-3.80), and preoperative hypoalbuminemia (OR: 1.53 [1.14-2.05]) were associated with the need for intraoperative or postoperative blood transfusions within 72 h of surgery.Conclusions: Preoperative AE was not associated with reducing intraoperative or postoperative bleeding complications or blood transfusions within 72 h after surgery.
Details
- Title: Subtitle
- Association for Academic Surgery Association Between Preoperative Angioembolization and Bleeding Complications in Patients With Benign Liver Tumors: Analysis of a National Database
- Creators
- Hassan Aziz - University of Iowa Hospitals and ClinicsTaylor Nordan - Brigham and Women's HospitalLawrence R. Feng - University of IowaYong K. Kwon - University of WashingtonMohammad Khreiss - Banner - University Medical Center TucsonRaffi Karagozian - Tufts Medical CenterThomas Schnelldorfer - Tufts Medical Center
- Resource Type
- Journal article
- Publication Details
- The Journal of surgical research, Vol.291, pp.536-545
- Publisher
- Elsevier
- DOI
- 10.1016/j.jss.2023.07.004
- PMID
- 37540971
- ISSN
- 0022-4804
- eISSN
- 1095-8673
- Number of pages
- 10
- Language
- English
- Date published
- 11/01/2023
- Academic Unit
- Surgery
- Record Identifier
- 9984701650002771
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