gms | German Medical Science

130. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

30.04. - 03.05.2013, München

Analysis of Short Term Outcomes after Liver Resection in a Single High Volume Centre

Meeting Abstract

Suche in Medline nach

  • Felix Rückert - Uniklinik Mannheim, Chirurgische Klinik, Mannheim
  • Sabrina Kising - Uniklinik Mannheim, Chirurgische Klinik, Mannheim
  • Marco Niedergethmann - Uniklinik Mannheim, Chirurgische Klinik, Mannheim

Deutsche Gesellschaft für Chirurgie. 130. Kongress der Deutschen Gesellschaft für Chirurgie. München, 30.04.-03.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgch136

doi: 10.3205/13dgch136, urn:nbn:de:0183-13dgch1364

Veröffentlicht: 26. April 2013

© 2013 Rückert et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Introduction: Elective liver resections are a common surgical procedure in Germany, and numbers are increasing due to the demographic development. Despite technical advances and high experience in liver resection of specialized centers, complications after surgical resection must be considered when planning liver resections. In this study, we analyzed postoperative morbidity and its management on the ground of data derived from a high-volume single center surgical population. By this we aimed to review and optimize perioperative management in the sense of evidence based medicine.

Material and methods: From January 1998 to December 2010, 627 consecutive patients had liver resection for different benign and malignant diseases. We performed 147 major hepatectomy, and 480 atypical resections and segmentectomy.

Results: We operated 244 (2.73%) female patients and the mean age was 61 years (range 16-87y). Of all 627 patients, 498 (79.4%) had malignant disease with metastatic disease in 386 (61.5%) cases. In-hospital mortality rate was 3.8% and morbidity rate was 31.8%. Furthermore, a comprehensive analysis of the treatment modalities for the different complications was performed.

Conclusion: Our data suggests that minor and major liver resections can be performed with acceptable morbidity and mortality. By well-established treatment algorithms most of the complications can be handled effectively.