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Risk factors of postoperative morbidity in patients with uncomplicated liver hydatid cyst

dc.contributor.authorManterola C.
dc.contributor.authorOtzen T.
dc.contributor.authorUrrutia S.
dc.date.accessioned2020-09-02T22:22:19Z
dc.date.available2020-09-02T22:22:19Z
dc.date.issued2014
dc.identifier10.1016/j.ijsu.2014.05.063
dc.identifier.citation12, 7, 695-699
dc.identifier.issn17439191
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5189
dc.descriptionPurpose: To determine postoperative morbidity (POM) in patients undergoing surgery for uncomplicated hepatic echinococcosis (HE) and determine associations with the variable POM looking for possible risk factors for POM. Methods: Nested case-control study. We included patients undergoing surgery for uncomplicated HE in two hospitals in Temuco between 2000 and 2012. The main outcome variable was development of POM. Other variables of interest were hospital stay, mortality and recurrence. Surgical techniques used were pericystectomy and liver resection. Descriptive statistics and analytical statistics were applied using T-test, ANOVA and Kruskal-Wallis test to compare continuous variables; Chi2 and Fisher's exact test for categorical variables, and logistic regression models were used, estimating OR. Results: 126 patients, median age 41 years, 61% female. The incidence of POM was 10.3%, with 76.9% Clavien grade I or II. The etiology was 6.5% and 4.1% of medical and surgical complications, respectively. There was no mortality and with a median follow-up of 83 months, recurrence incidence was 0.8%. Association was found between cases and controls and the variables age, alkaline phosphatase, cyst location and hospital stay. Applying regression models age (p = 0.002 and OR 1.07) and cyst location (p = 0.003 and OR 3.94) were found to be risk factors. Conclusions: Observed POM is lower and of less severity than those previously published. Risk factors were determined. © 2014 Surgical Associates Ltd.
dc.language.isoen
dc.publisherElsevier Ltd
dc.subjectCohort studies
dc.subjectEchinococcosis
dc.subjectHepatic
dc.subjectHepatic hydatid cyst
dc.subjectMorbidity
dc.subjectOperative
dc.subjectSurgical procedures
dc.subjectalkaline phosphatase
dc.subjectadolescent
dc.subjectadult
dc.subjectage distribution
dc.subjectaged
dc.subjectalkaline phosphatase blood level
dc.subjectarticle
dc.subjectatelectasis
dc.subjectcase control study
dc.subjectcystectomy
dc.subjectfemale
dc.subjectfollow up
dc.subjectheart arrhythmia
dc.subjecthospitalization
dc.subjecthuman
dc.subjectliver hydatid cyst
dc.subjectliver resection
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmorbidity
dc.subjectmulticenter study
dc.subjectobservational study
dc.subjectoutcome variable
dc.subjectpostoperative complication
dc.subjectPostoperative morbidity
dc.subjectpostoperative period
dc.subjectpriority journal
dc.subjectrecurrent disease
dc.subjectreoperation
dc.subjectrisk factor
dc.subjectsupraventricular tachycardia
dc.subjectsurgical infection
dc.subjectsurgical mortality
dc.subjecttumor localization
dc.subjecturinary tract infection
dc.subjectvery elderly
dc.subjectChile
dc.subjectcomorbidity
dc.subjectEchinococcosis, Hepatic
dc.subjectmiddle aged
dc.subjectmorbidity
dc.subjectpostoperative period
dc.subjectyoung adult
dc.subjectepidemiology
dc.subjectArticle
dc.subjectcholelithiasis
dc.subjectcontrolled clinical trial
dc.subjectcontrolled study
dc.subjectechography
dc.subjecthospital
dc.subjectincidence
dc.subjectmortality
dc.subjectpostoperative morbidity
dc.subjectuncomplicated liver hydatid cyst
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectCase-Control Studies
dc.subjectChile
dc.subjectComorbidity
dc.subjectEchinococcosis, Hepatic
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMorbidity
dc.subjectPostoperative Period
dc.subjectRisk Factors
dc.subjectYoung Adult
dc.titleRisk factors of postoperative morbidity in patients with uncomplicated liver hydatid cyst
dc.typeArticle


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