Benchmarking postoperative outcomes after open liver surgery for cirrhotic patients with hepatocellular carcinoma in a national cohort
- Famularo S.
- Russolillo N.
- Donadon M.
- Cipriani F.
- Ardito F.
- Perri P.
- Giani A.
- De Stefano F.
- Lai Q.
- Molfino S.
- Zanello M.
- Iaria M.
- La Barba G.
- Pinotti E.
- Germani P.
- Conci S.
- Ferrari C.
- Fumagalli L.
- Romano M.
- Antonucci A.
- Zimmitti G.
- Troci A.
- Floridi A.
- Ferraro V.
- Patauner S.
- Frena A.
- Memeo R.
- Crespi M.
- Hilal M. A.
- Zanus G.
- Chiarelli M.
- Percivale A.
- Ruzzenente A.
- Tarchi P.
- Zago M.
- Ercolani G.
- Dalla Valle R.
- Jovine E.
- Baiocchi G. L.
- Rossi M.
- Maestri M.
- Romano F.
- Grazi G. L.
- Giuliante F.
- Aldrighetti L.
- Ferrero A.
- Torzilli G.
- Costa G.
- Milana F.
- Fazio F.
- Ratti F.
- Razionale F.
- De Peppo V.
- Carissimi F.
- Paolo Graziano G. M.
- Laurerio Z. L.
- Giuffrida M.
- Cucchetti A.
- Montuori M.
- Cosola D.
- Corleone P.
- Lazzari G.
- Franceschi A.
- Calcagno P.
- Salvador L.
- Manzoni A.
- Pennacchi L.
- Libia A.
- Notte F.
- Bernasconi D. P.
- Mori S.
- Gaudesi D.
DOIAbstract
Background: Benchmark analysis for open liver surgery for cirrhotic patients with hepatocellular carcinoma (HCC) is still undefined. Methods: Patients were identified from the Italian national registry HE.RC.O.LE.S. The Achievable Benchmark of Care (ABC) method was employed to identify the benchmarks. The outcomes assessed were the rate of complications, major comorbidities, post-operative ascites (POA), post-hepatectomy liver failure (PHLF), 90-day mortality. Benchmarking was stratified for surgical complexity (CP1, CP2 and CP3). Results: A total of 978 of 2698 patients fulfilled the inclusion criteria. 431 (44.1%) patients were treated with CP1 procedures, 239 (24.4%) with CP2 and 308 (31.5%) with CP3 procedures. Patients submitted to CP1...
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