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Factors Associated with Prolonged Recipient Hepatectomy Time During Liver Transplantation: A Single-Centre Experience
F Ausania1, F Al Shwely2, J Farguell2
1HPB and Liver Transplant Unit, Department of General and Digestive Surgery, Hospital Clínic, IDIBAPS, CIBEREHD, University of Barcelona, Villarroel 170, 08036, Barcelona, Spain. f.ausania@googlemail.com.
World Journal of Surgery
|June 23, 2020
Summary
Factors like higher BMI, previous abdominal surgery, and variceal bleeding increase recipient hepatectomy time in liver transplants. Surgeon experience shortens this critical operative phase.
Area of Science:
- Hepatobiliary Surgery
- Transplant Surgery
- Surgical Outcomes
Background:
- Recipient hepatectomy is a critical and complex phase of liver transplantation.
- Prolonged hepatectomy duration can negatively impact outcomes, including increased ischemic times.
Purpose of the Study:
- To identify factors associated with prolonged recipient hepatectomy time during liver transplantation.
Main Methods:
- Retrospective analysis of 715 liver transplant recipients from 2005-2015.
- Prolonged hepatectomy defined as operative time >180 minutes.
- Univariate and multivariate analyses to assess influencing factors.
Main Results:
- 12.4% of patients experienced prolonged hepatectomy time.
- Variceal bleeding, BMI >27, and prior abdominal surgery were associated with longer times.
- Higher surgeon experience was linked to shorter hepatectomy duration.
Conclusions:
- Recipient BMI, prior variceal bleeding, previous abdominal surgery, and surgeon experience are independent predictors of hepatectomy duration.
- Identifying at-risk patients allows for proactive strategies to optimize liver transplant outcomes.
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