Impact of Frailty on Short-Term Outcomes After Laparoscopic and Open Hepatectomy

Impact of Frailty on Short-Term Outcomes After Laparoscopic and Open Hepatectomy

Background Although laparoscopic hepatectomy (LH) is associated with improved short-term outcomes compared to open hepatectomy (OH), it is unknown whether frail patients also benefit from LH. The aim of this study was to evaluate the impact of frailty on post-operative outcomes after LH and OH. Pati...

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Veröffentlicht in:World journal of surgery 2022-10, Vol.46 (10), p.2444-2453
Hauptverfasser: Osei-Bordom, D., Hall, L., Hodson, J., Joshi, K., Austen, L., Bartlett, D., Isaac, J., Mirza, D. F., Marudanayagam, R., Roberts, K., Dasari, B. V., Chatzizacharias, N., Sutcliffe, R. P.
Format: Artikel
Sprache:eng
Schlagworte:
Abdominal Surgery
Cardiac Surgery
Complications
Frailty
General Surgery
Hepatectomy
Laparoscopy
Medicine
Medicine & Public Health
Multivariate analysis
Original Scientific Report
Patients
Postoperative
Subgroups
Surgery
Thoracic Surgery
Vascular Surgery
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Zusammenfassung:Background Although laparoscopic hepatectomy (LH) is associated with improved short-term outcomes compared to open hepatectomy (OH), it is unknown whether frail patients also benefit from LH. The aim of this study was to evaluate the impact of frailty on post-operative outcomes after LH and OH. Patients and methods Consecutive patients who underwent LH and OH between January 2011 and December 2018 were identified from a prospective database. Frailty was assessed using the modified Frailty Index (mFI), with patients scoring mFI ≥ 1 deemed to be frail. Results Of 1826 patients, 34.7% ( N  = 634) were frail and 18.6% ( N  = 340) were elderly (≥ 75 years). Frail patients had significantly higher 90-day mortality (6.6% vs. 2.9%, p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-022-06648-0