Postoperative course and clinical significance of biochemical blood tests following hepatic resection

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • C. Reissfelder - , Heidelberg University  (Author)
  • N. N. Rahbari - , Heidelberg University  (Author)
  • M. Koch - , Heidelberg University  (Author)
  • B. Kofler - , Heidelberg University  (Author)
  • N. Sutedja - , Heidelberg University  (Author)
  • H. Elbers - , Heidelberg University  (Author)
  • M. W. Büchler - , Heidelberg University  (Author)
  • J. Weitz - , Heidelberg University  (Author)

Abstract

Background: Hepatic resection continues to be associated with substantial morbidity. Although biochemical tests are important for the early diagnosis of complications, there is limited information on their postoperative changes in relation to outcome in patients with surgery-related morbidity. Methods: A total of 835 consecutive patients underwent hepatic resection between January 2002 and January 2008. Biochemical blood tests were assessed before, and 1, 3, 5 and 7 days after surgery. Analyses were stratified according to the extent of resection (3 or fewer versus more than 3 segments). Results: A total of 451 patients (54.0 per cent) underwent resection of three or fewer anatomical segments; resection of more than three segments was performed in 384 (46.0 per cent). Surgery-related morbidity was documented in 258 patients (30.9 per cent) and occurred more frequently in patients who had a major resection (P = 0.001). Serum bilirubin and international normalized ratio as measures of serial hepatic function differed significantly depending on the extent of resection. Furthermore, they were significantly affected in patients with complications, irrespective of the extent of resection. The extent of resection had, however, little impact on renal function and haemoglobin levels. Surgery-related morbidity caused an increase in C-reactive protein levels only after a minor resection. Conclusion: Biochemical data may help to recognize surgery-related complications early during the postoperative course, and serve as the basis for the definition of complications after hepatic resection.

Details

Original languageEnglish
Pages (from-to)836-844
Number of pages9
JournalBritish journal of surgery
Volume98
Issue number6
Publication statusPublished - Jun 2011
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 21456090

Keywords

ASJC Scopus subject areas