Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/20725
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dc.contributor.authorChan, Jenny-
dc.contributor.authorBradshaw, Luke-
dc.contributor.authorHouli, Nezor-
dc.contributor.authorWeinberg, Laurence-
dc.contributor.authorPerini, Marcos V-
dc.contributor.authorFink, Michael A-
dc.contributor.authorMuralidharan, Vijayaragavan-
dc.contributor.authorStarkey, Graham M-
dc.contributor.authorJones, Robert M-
dc.contributor.authorWang, Bao Zhong-
dc.contributor.authorChristophi, Christopher-
dc.contributor.authorNikfarjam, Mehrdad-
dc.date2019-03-26-
dc.date.accessioned2019-04-30T23:55:28Z-
dc.date.available2019-04-30T23:55:28Z-
dc.date.issued2019-06-
dc.identifier.citationHepatobiliary & Pancreatic Diseases International : HBPD INT 2019; 18(3): 249-254en_US
dc.identifier.issn1499-3872-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/20725-
dc.description.abstractCentral hepatectomy (CH) is more difficult than extended hepatectomy (EH) and is associated with greater morbidity. In this modern era of liver management with aims to prevent post-hepatectomy liver failure (PHLF), there is a need to assess outcomes of CH as a parenchyma-sparing procedure for centrally located liver tumors. A total of 178 major liver resections performed by specialist surgeons from two Australian tertiary institutions between June 2009 and March 2017 were reviewed. Eleven patients had CH and 24 had EH over this study period. Indications and perioperative outcomes were compared between the groups. The main indication for performing CH was colorectal liver metastases. There was no perioperative mortality in the CH group and four (16.7%) in the EH group (P = 0.285). No group differences were found in median operative time [CH vs. EH: 450 min (290-840) vs. 523 min (310-860), P = 0.328)], intraoperative blood loss [850 mL (400-1500) vs. 650 mL (100-2000), P = 0.746) or patients requiring intraoperative blood transfusion [(1 (9.1%) vs. 7 (30.4%), P = 0.227)]. There was a trend towards fewer hepatectomy-specific complications in the CH group [3 (27.3%) vs. 13 (54.2%), P = 0.167], including PHLF (CH vs. EH: 0 vs. 29.2%, P = 0.072). Median length of stay was similar between groups [CH vs. EH: 9 days (5-23) vs. 12 days (4-85), P = 0.244]. CH has equivalent postoperative outcomes to EH. There is a trend towards fewer hepatectomy-specific complications, including PHLF. In appropriate patients, CH may be considered as a safe parenchyma-sparing alternative to EH.en_US
dc.language.isoeng-
dc.subjectCentral bisectionectomyen_US
dc.subjectCentral bisegmentectomyen_US
dc.subjectCentral hepatectomyen_US
dc.subjectExtended hepatectomyen_US
dc.subjectMesohepatectomyen_US
dc.titleOutcomes of central hepatectomy versus extended hepatectomy.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleHepatobiliary & Pancreatic Diseases International : HBPD INTen_US
dc.identifier.affiliationDepartment of Surgery, University of Melbourne, Northern Health, Epping, Victoria, Australiaen_US
dc.identifier.affiliationAnaesthesiaen_US
dc.identifier.affiliationSurgery (University of Melbourne)en_US
dc.identifier.doi10.1016/j.hbpd.2019.03.005en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0001-7403-7680en_US
dc.identifier.orcid0000-0002-0165-1564en_US
dc.identifier.orcid0000-0001-8247-8937en_US
dc.identifier.orcid0000-0003-4866-276Xen_US
dc.identifier.pubmedid30987899-
dc.type.austinJournal Article-
local.name.researcherChan, Jenny
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptAnaesthesia-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptSurgery-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptSurgery-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptGastroenterology and Hepatology-
crisitem.author.deptSurgery-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptSurgery (University of Melbourne)-
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