作者
Fouad T Chebib, Amber Harmon, Maria V Irazabal Mira, Yeon Soon Jung, Marie E Edwards, Marie C Hogan, Patrick S Kamath, Vicente E Torres, David M Nagorney
发表日期
2016/7/1
期刊
Journal of the American College of Surgeons
卷号
223
期号
1
页码范围
118-126. e1
出版商
No longer published by Elsevier
简介
Background
Partial hepatectomy and cyst fenestration (PHCF) selectively provides clinical benefit in highly symptomatic patients with polycystic liver disease (PLD). This study aims to ascertain whether the reduction in liver volume (LV) achieved by PHCF is sustained long term.
Study Design
Clinical data were retrieved from the electronic records of all patients with PLD who underwent PHCF between 1985 and 2014. Preoperative LVs (LV1), postoperative LVs (LV2), and late follow-up LVs (LV3) were measured from magnetic resonance or CT images.
Results
Among 186 patients who underwent PHCF, 91% were Caucasian women with autosomal dominant polycystic kidney disease with a mean age of 49 years. Major perioperative complications (Clavien III/IV) occurred in 21% of the patients. Operative mortality (<90 days) was 2.7%. Eleven patients had liver failure develop, received liver transplants, or had liver …
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FT Chebib, A Harmon, MVI Mira, YS Jung, ME Edwards… - Journal of the American College of Surgeons, 2016