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Clinical outcomes of left hepatic trisectionectomy for hepatobiliary malignancy. BJS 2016; 103: 249-256.

Published: 23rd December 2015

Authors: S. G. Farid, A. White, N. Khan, G. J. Toogood, K. R. Prasad, J. P. A. Lodge et al.

Background

Left hepatic trisectionectomy (LHT) is a challenging major anatomical hepatectomy with a high complication rate and a worldwide experience that remains limited. The aim of this study was to describe changes in surgical practice over time, to analyse the outcomes of patients undergoing LHT for hepatobiliary malignancy, and to identify factors associated with morbidity and mortality.

Method

A cohort study was undertaken of patients who underwent LHT at a single tertiary hepatobiliary referral centre between January 1993 and March 2013. Univariable and multivariable analysis was used to identify factors associated with short‐ and long‐term outcomes following LHT.

Conclusion

Morbidity, mortality and long‐term survival after LHT support its use in selected patients with a significant tumour burden.

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