Risk factors of postoperative liver dysfunction in cirrhotics after splenorenal shunt and esophagogastric devascularization / 中华普通外科杂志
Chinese Journal of General Surgery
; (12): 770-773, 2017.
Article
in Zh
| WPRIM
| ID: wpr-657891
Responsible library:
WPRO
ABSTRACT
Objective To explore the risk factors of postoperative liver dysfunction in cirrhotic patients with Child-Pugh A liver function after splenorenal shunt and esophagogastric devascularization.Methods 128 Child-Pugh A cirrhotics undergoing splenorenal shunt and portal-azygous disconnection in our hospital from February,2014 to February,2016 were evaluated for risk factors of postoperative liver dysfunction.Results 22 cases (17.2%) developed postoperative liver dysfunction.By single factor analysis,age,history of upper gastrointestinal hemorrhage,ascites,serum prealbumin,serum albumin,mechanical ventilation time after surgery,postoperative serum albumin were associated with postoperative liver dysfunction.Non-conditional Logistic regression showed that age > 60,serum prealbumin < 170 g/L and serum albumin < 30 g/L was independent risk factors for postoperative liver dysfunction.Conclusion Patients' age > 60,serum prealbumin < 170 g/L and serum albumin < 30 g/L was independent risk factors for postoperative liver dysfunction after splenorenal shunt and portal-azygous disconnection.
Full text:
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Index:
WPRIM
Type of study:
Etiology_studies
/
Risk_factors_studies
Language:
Zh
Journal:
Chinese Journal of General Surgery
Year:
2017
Type:
Article