SynthesisWorld journal of surgery2019
Enterothorax After Hepatic Surgery: A Single-Center Experience.
Synthesis in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Life threatening rupture of the diaphragm after Covid 19 pneumonia: a case report.Journal of cardiothoracic surgery · 2022Article
- Surgical management of delayed-presentation diaphragm hernia: A single-institution experience.JTCVS techniques · 2022Article
- Acquired diaphragmatic hernia after hepatectomy and liver transplantation in adults and children: A case series and literature review.Annals of hepato-biliary-pancreatic surgery · 2021Article
- Incarcerated diaphragmatic hernia after right hepatectomy: an autopsy case with a review of 45 previous cases.International journal of legal medicine · 2021Review
- Incidence, Diagnosis and Repair of a Diaphragmatic Hernia Following Hepatic Surgery: A Single Center Analysis of 3107 Consecutive Liver Resections.Journal of clinical medicine · 2021Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundEnterothorax (ET) is a rare complication after hepatic surgery. The literature in this field is limited and mainly based on case reports. The aim of this study was to review our department's experience. PATIENTS AND
methodsWe retrospectively analyzed 602 patients who underwent hepatic resection between November 2008 and December 2016. Major hepatic surgery (n = 321) was defined as right or extended right hepatectomy (n = 227), left or extended left hepatectomy (n = 63), trisegmentectomy (n = 13), and living donor liver transplantation (n = 18). ET cases were identified by analyzing clinical courses and radiological imaging.
resultsET was observed in five out of 602 patients (0.8%). All patients developed the complication after major hepatic surgery (five out of 321, 1.6%). ET exclusively occurred after right (n = 3) or extended right hepatectomy (n = 2). Median time to diagnosis was 22 months. Radiological imaging showed herniation of small (n = 2), large bowel (n = 2), or omental fat (n = 1) with a median diaphragmatic defect of 3.9 cm. Two patients presented with acute incarceration and underwent emergency surgery, one patient reported recurrent pain and underwent elective repair, and two patients refused surgery. Follow-up imaging in two operated patients showed no recurrence of ET after 36 and 8 months.
conclusionsPatients after right hepatectomy have a substantial risk of ET. Acute right upper quadrant pain and/or dyspnea after hepatectomy should be investigated with adequate radiological imaging. Elective surgical repair of ET is recommended to avoid emergency surgery in case of incarceration.
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