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The performance of hepatectomy for liver tumors using the thoraco-abdominal approach (TAA) versus the abdominal approach (AA) is still debated.
The aim of the study is the analysis of the perioperative outcome of patients operated with or without the TAA for liver tumors.
The prospectively maintained database was queried. A 1:1 propensity score-matched analysis was applied. Among 744 patients, 246 undergoing hepatectomy with TAA and 246 undergoing hepatectomy with AA were compared. These patients were matched for baseline characteristics, underlying liver disease, comorbidity, tumor features, and extent of the resection. The rates of morbidity and mortality were the study endpoints.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAA | Thoraco-Abdominal Approach: those patients with liver tumors operated with the thoracic-abdominal approach |
| |
| AA | Abdominal Approach: those patients with liver tumors operated with the abdominal approach (without the thoracotomy) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hepatectomy | Procedure | Surgery for liver tumors is the removal of a part of the liver affected by a tumor. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Short-term outcome: Occurrence of postoperative complications or death after surgery | Occurrence of postoperative complications or death after surgery | Within 90-days after the operation |
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Inclusion Criteria:
Exclusion Criteria:
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Patients affected by liver tumors scheduled for hepatectomy at our center.
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| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D006498 | Hepatectomy |
| ID | Term |
|---|---|
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |