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Enterothorax After Hepatic Surgery: A Single-Center Experience.

G Manzini1, C Kuemmerli1, C S Reiner2

  • 1Department of Visceral and Transplantation Surgery, University Hospital of Zurich, Rämistrasse 100, 8091, Zurich, Switzerland.

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|November 3, 2018
PubMed
Summary
This summary is machine-generated.

Enterothorax (ET) is a rare complication after hepatic surgery, particularly right hepatectomy. Early diagnosis and elective repair are recommended to prevent complications like incarceration.

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Area of Science:

  • Hepatobiliary Surgery
  • Surgical Complications
  • Abdominal Wall Reconstruction

Background:

  • Enterothorax (ET) is an infrequent complication following hepatic surgery.
  • Existing literature on ET is sparse, primarily consisting of case reports.
  • This study reviews departmental experience with ET after hepatic resection.

Purpose of the Study:

  • To investigate the incidence and characteristics of enterothorax (ET) after hepatic surgery.
  • To identify risk factors and optimal management strategies for ET.
  • To evaluate the outcomes of surgical repair for ET.

Main Methods:

  • Retrospective analysis of 602 patients undergoing hepatic resection (November 2008 - December 2016).
  • Major hepatic surgery defined for specific procedures including right hepatectomy.
  • ET cases identified via clinical and radiological assessment.

Main Results:

  • Five out of 602 patients (0.8%) developed ET, exclusively after major hepatic surgery (1.6%).
  • ET occurred most frequently after right or extended right hepatectomy.
  • Median diagnosis time was 22 months, with a median diaphragmatic defect of 3.9 cm.

Conclusions:

  • Right hepatectomy poses a significant risk for developing enterothorax.
  • Acute right upper quadrant pain or dyspnea post-hepatectomy warrants thorough radiological investigation.
  • Elective surgical repair of ET is advised to prevent emergency surgery due to incarceration.