ArticlePediatric surgery international2014
Morbidity and mortality associated with liver resections for primary malignancies in children.
Article in Pediatric surgery international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Effect of surgical complications on outcomes of children with hepatoblastoma: a retrospective cohort study.Surgery today · 2025Article
- Case Report: Major right-sided hepatectomies in infants in Uzbekistan: a case series.Frontiers in pediatrics · 2024Article
- Pediatric Liver and Transplant Surgery: Results of an International Survey and Expert Consensus Recommendations.Journal of clinical medicine · 2023Article
- Surgical management in hepatoblastoma: points to take.Pediatric surgery international · 2023Review
- Surgical Outcome of Children with a Malignant Liver Tumour in The Netherlands: A Retrospective Consecutive Cohort Study.Children (Basel, Switzerland) · 2022Article
- Risk Factors for 30-Day Unplanned Readmission After Hepatectomy: Analysis of 438 Pediatric Patients from the ACS-NSQIP-P Database.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Establishing a Standardized Measure of Quality in Pediatric Liver Surgery: Definition and Validation of Textbook Outcome With Associated Predictors.Frontiers in surgery · 2021Article
- Mesenchymal Hamartoma of the Liver: Complete Excision Always Necessary.Case reports in surgery · 2017Article
- Minimally-invasive liver resection in pediatric patients: initial experience and outcomes.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2016Article
- Benign liver tumors in children: outcomes after resection.Pediatric surgery international · 2015Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLiver resection (LR) is a high-risk procedure with limited data in the pediatric surgical literature regarding short-term outcomes. Our aim was to characterize the patient population and short-term outcomes for children undergoing LR for malignancy.
methodsWe studied 126 inpatient admissions for children ≤20 years of age undergoing LR in 2009 using the Kids' Inpatient Database. Patients had a principal diagnosis of a primary hepatic malignancy and LR listed as one of the first five procedures. Transplantations were excluded. Complications were defined by ICD-9 codes. High-volume centers performed at least 5 LR.
resultsThe mean age was 5.83 years. The morbidity and mortality rates were 30.7 and 3.7%, respectively. The most common causes of morbidity were digestive system complications (7.4%), anemia (7.3%), and respiratory complications (3.8%). 43.9% received a blood product transfusion. The average length of stay was 10.04 days. When compared to low-volume centers, high-volume centers increased the likelihood of a complication fourfold (P = 0.011) but had 0% mortality (P = 0.089).
conclusionLR remains a procedure fraught with multiple complications and a significant mortality rate. High-volume centers have a fourfold increase in likelihood of complications compared to low-volume centers and may be related to extent of hepatic resection.
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