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A cohort study on the risk of hepatectomy and pancreatectomy after history of abdominal surgery on other organs
Ann Hepatobiliary Pancreat Surg 2018 Nov;22(4):344-9
Published online November 30, 2018
Copyright © 2018 Ann Hepatobiliary Pancreat Surg.

Atsushi Nanashima1, Masahide Hiyoshi1, Naoya Imamura1, Koichi Yano1, Takeomi Hamada1, Takashi Wada1, Takahiro Nishida2, Kazuyo Tsuchiya2, Fumiaki Kawano2, Takuto Ikeda2, Shinsuke Takeno2

1Division of Hepato-biliary-pancreas Surgery, 2Gastrointestinal, Endocrine and Pediatric Surgery, Department of Surgery, University of Miyazaki Faculty of Medicine, Miyazaki, Japan
Received April 27, 2018; Revised June 29, 2018; Accepted July 10, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Backgrounds/Aims: The present study analyzed the postoperative outcomes in patients who underwent hepatectomy or pancreatectomy, with a history of intra-abdominal surgery involving other organs, to elucidate surgical efficacy. 
Methods: We examined the perioperative parameters in 28 patients who underwent hepatectomy (n=12) and pancreatectomy (n=16) after receiving prior abdominal organ resection (esophagectomy, n=2; gastrectomy, n=5; resection of small intestine, n=2; appendectomy, n=5; colorectal resection, n=9; hepatectomy, n=1; cholecystectomy, n=3; splenectomy, n=2, pancreatectomy ,right adrenectomy, nephrectomy and myoma uteri, n=1 each). 
Results: Age, gender, a history of comorbidities, and primary diseases were not significantly different between the groups. The present operation was predominantly indicated for liver metastases in all patients undergoing hepatectomy. Several diseases were detected in pancreaticoduodenectomy (PD) patients. Laboratory data were not significantly different between groups. Although operating time and blood loss during hepatectomy did not differ significantly between the groups, the operating time was significantly longer in patients undergoing PD compared with distal pancreatectomy (p<0.05). Red cell blood transfusion was most frequently used in patients who underwent major hepatectomy and PD (p<0.05). The prevalence of postoperative complications was not significantly different between groups. Hospital death was not observed and the period of hospital stay did not differ between groups. 
Conclusions: Carefully scheduled hepatectomy or pancreatectomy is safe even in cases with prior abdominal surgery under the present strategy.
Keywords : Hepatectomy; Pancreatectomy, Previous history; Abdominal surgeries; Operative difficulties


November 2018, 22 (4)