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日本Wakayama医科大学医院Hirono等报告是又一篇有关单一中心肝胰十二指肠切除术(HPD)的经验,与以往的报道一样,病例数少(8年11例),术后死亡率(18％)和并发症发生率(82％)高,其值得注意的特点是手术失血量大(平均4000 ml),只有2例失血量<2000 ml,反映了该术式的大小程度。该文的目的是想通过单变量分析明确HPD的指征,但其结果提示,除血清胆红素水平(>3．0 mg／dl)和肝切除范围(>2个肝段)与术后严重并发症发生的危险性有一定关系外,其他所分析的任何变量均与手术死亡无关,可能是
Japan’s Wakayama Medical University Hospital, Hirono and other reports is another article about single center hepatorenal resection (HPD) experience, as previously reported, the small number of cases (8 years in 11 cases), postoperative mortality ( 18%) and complication rate (82%). It is noteworthy that the blood loss in operation is large (average 4000 ml), and only 2 cases of blood loss <2000 ml, reflecting the size of the operation. The aim of this article was to determine the indications for HPD by univariate analysis but the results suggest that in addition to serum bilirubin levels (> 3.0 mg / dl) and hepatectomy range (> 2 liver segments) versus postoperative There is a certain relationship between the risk of serious complications, and any other variables analyzed have nothing to do with surgical death, may be