血液透析患者肝切除的短期预后。
Short-term Outcomes of Liver Resection in Patients With Hemodialysis.
机构信息
Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan;
Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Chiba Hokusoh Hospital, Chiba, Japan.
出版信息
In Vivo. 2021 Jul-Aug;35(4):2465-2468. doi: 10.21873/invivo.12526.
BACKGROUND
The number of patients with hemodialysis is increasing increased yearly. Few reports are available on hepatobiliary and gastrointestinal surgery in these patients.
PATIENTS AND METHODS
A total of 222 patients who underwent partial liver resection or segmentectomy in our hospital between January 2015 and September 2019 were included in this study. Patients were divided into the hemodialysis group (n=9) and non-hemodialysis group (n=213).
RESULTS
No significant difference was observed in postoperative complications between the hemodialysis and non-hemodialysis group. The hemodialysis group had a significantly higher infectious complication rates than the non-hemodialysis group (33.3% vs. 8.0%, p=0.009). In logistic regression analysis, hemodialysis was only a significant risk factor for postoperative infectious complications (OR=5.61, 95% CI=1.12-28.20, p=0.036).
CONCLUSION
Liver resections, at least segmentectomy or smaller, is acceptable in patients on hemodialysis. However, these patients may have a higher risk of postoperative infectious complications than other patients.
背景
接受血液透析的患者人数逐年增加。关于这些患者的肝胆和胃肠外科手术，仅有少数报道。
患者和方法
本研究纳入了 2015 年 1 月至 2019 年 9 月期间在我院接受部分肝切除术或节段切除术的 222 例患者。患者分为血液透析组（n=9）和非血液透析组（n=213）。
结果
血液透析组和非血液透析组的术后并发症无显著差异。血液透析组的感染性并发症发生率明显高于非血液透析组（33.3% vs. 8.0%，p=0.009）。Logistic 回归分析显示，血液透析仅是术后感染性并发症的显著危险因素（OR=5.61，95%CI=1.12-28.20，p=0.036）。
结论
至少行节段切除术或更小范围的肝切除术在血液透析患者中是可以接受的。然而，这些患者术后感染性并发症的风险可能高于其他患者。
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