ArticleBMC anesthesiology2017
Risk factors for pulmonary complications after hepatic resection: role of intraoperative hemodynamic instability and hepatic ischemia.
Article in BMC anesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of evidence-based nursing on surgical site wound infections in patients undergoing surgery for liver cancer: A meta-analysis.International wound journal · 2024Pooled it
- A randomized trial evaluating hemodynamics during minor hepatectomy under general anesthesia combined with thoracic epidural anesthesia: remimazolam versus propofol.BMC anesthesiology · 2025Trial
- Laparoscopic approach reduces the incidence of postoperative pulmonary complications after hepatectomy for hepatocellular carcinoma: a multicenter overlap propensity score-weighted analysis.Hepatobiliary surgery and nutrition · 2026Article
- High-altitude adaptation as a protective factor against postoperative pulmonary complications in liver resection: a prospective matched cohort study.BMC anesthesiology · 2025Observational
- Analysis of risk factors and development of a predictive model for postoperative pulmonary complications in hepatic echinococcosis patients.Scientific reports · 2025Article
- Factors associated with pulmonary complications after hepatectomy and establishment of nomogram: A real-world retrospective study.Indian journal of anaesthesia · 2025Article
- Severe pleural effusion after hepatectomy for hepatocellular carcinoma: multicentre retrospective study.BJS open · 2023Article
- Risk factors and predictive model for pulmonary complications in patients transferred to ICU after hepatectomy.BMC surgery · 2023Article
- Pulmonary complications after laparoscopic liver resection.Surgical endoscopy · 2021Article
- Effects of Connexin 32-Mediated Lung Inflammation Resolution During Liver Ischemia Reperfusion.Digestive diseases and sciences · 2020Article
- Surgical resection for liver cancer during the COVID-19 outbreak.Updates in surgery · 2020Article
- The respiratory and hemodynamic effects of alveolar recruitment in cirrhotic patients undergoing liver resection surgery: A randomized controlled trial.Journal of anaesthesiology, clinical pharmacologyArticle
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9 authors.
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Abstract
backgroundPostoperative operative pulmonary complications (PPCs) after hepatic surgery are associated with increased length of hospital stays. Intraoperative blood transfusion, extensive resection and different comorbidities have been identified. Other parameters, like time of hepatic ischemia, have neither been clinically studied, though experimental studies show that hepatic ischemia can provide lung injury. The objective of this study was to determinate the risk factors of postoperative pulmonary complications (PPCs) after hepatic resection within 7 postoperative days.
methodNinety-four patients consecutively who underwent elective hepatectomy between January and December 2013. Demographic data, pathological variables, and preoperative, intraoperative, and postoperative variables had been prospectively collected in a data base. The dependant variables studied were the occurrence of PPCs, defined before analysis of the data.
resultsPPCs occurred in 32 (34%) patients. A multivariate analysis allowed identifying the risk factors for PPCs. On multivariate analysis, preoperative gamma-glutamyltransferase (GGT) elevation OR =5,12 [1,85-15,69] p = 0,002, liver ischemia duration OR = 1,03 [1,01-1,06] p = 0,01 and the intraoperative use of vasopressor OR = 4,40 [1,58-13,36] p = 0,006 were independently associated with PPCs. For every 10 min added in ischemia duration, the OR of the risk of PPCs was estimated to be 1.37 (CI
conclusionThree risk factors for PPCs have been identified in a population undergoing liver resection: preoperative GGT elevation, ischemia duration and the intraoperative use of vasopressor. PPCs after liver surgery could be related to lung injury induced by liver ischemia reperfusion and not solely by direct infectious process. That could explain why factors influencing directly or indirectly liver ischemia were independently associated with PPCs.
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