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Table 2 Demographics and clinical data of the 15 single cases

From: Contributing factors to severe complications after liver resection: an aggregate root cause analysis in 105 consecutive patients

Case Sex, Age BMI Indication Liver resection Type Associated procedure Operative time, Minutes Estimated blood loss, mL Total
Pringle time, Minutes 		Type of severe complication Relaparotomy, (Number) Clavien-Dindo
Grade 		Time from Liver resection to death, Days
1 M, 50 30.00 GBCC Bisegmentectomy Sg4b-Sg5 Main bile duct resection / Hepaticojejunostomy 240 200 40 Severe sepsis secondary to subphrenic abscess No IVa NA
2 F, 53 25.53 GBCC Bisegmentectomy Sg4b-Sg5 Distal Gastrectomy / Gastrojejunostomy 300 50 20 Biliary peritonitis secondary to cut surface leak Yes IIIb NA
3 F, 79 29.61 CRLM Bisegmentectomy Sg6-Sg7 No 150 150 48 Death caused by arrhythmia associated to septic pleural effusion No V 37
4 M, 73 23.30 CRLM Wedge resections (4) in Sg6-Sg8, Sg4a, Sg3 and Sg2 No 330 300 79 Delayed awakening following anesthesia and delayed weaning POD4 associated to hemodynamic instability No IVa NA
5 F, 68 26.63 HCC Right hepatectomy with resection of Sg1 Diaphragm resection 330 400 0 Acute respiratory failure secondary to pulmonary embolism No IVa NA
6 M, 61 21.97 CRLM Wedge resection in Sg5 Right colectomy / Ileocolic anastomosis 180 50 15 Hemorrhagic shock secondary to ruptured false aneurysm / Biliary Peritonitis secondary to cut surface leak Yes (2) IVa NA
7 M, 70 26.64 NETLM Left hepatectomy with resection of Sg1 No 300 250 45 Hemorrhagic shock secondary to cut surface bleeding Yes IVa NA
8 F, 51 23.87 CRLM Wedge resections (2) in Sg4 and Sg5 Proctectomy / Colorectal Anastomosis 310 50 0 Death caused by septic shock secondary to a peritonitis from anastomosis leak Yes V 4
9 M, 31 19.09 CRLM Left hepatectomy with wedge resections (3) in Sg1, Sg5-Sg6 and Sg6-Sg7 No 300 200 13 Biliary peritonitis secondary to a cystic duct leak Yes IIIb NA
10 M, 60 29.41 CRLM Wedege resection in Sg8 No 240 100 30 Acute respiratory failure secondary to pneumonia No IVa NA
11 F, 58 26.45 PHCC Left hepatectomy with resection of Sg1 Biliary confluence resection / Hepaticojejunostomy 420 700 12 Death caused by sepsis secondary to pneumonia, associated to liver failure No V 13
12 F, 57 31.36 CRLM Segmentectomy Sg7 Proctectomy / Colorectal anastomosis 240 300 30 Peritonitis secondary to anastomosis leak Yes (2) IIIb NA
13 F, 54 22.83 CRLM Left hepatectomy with wedge resection (2) in Sg7 and Sg4b Diaphragm and pericardium resection 300 700 26 Arrhythmia secondary to a pneumopericardium, associated to kidney failure No IVa NA
14 M, 63 25.43 HCC Segmentectomy Sg5 No 240 150 29 Death caused by sepsis secondary to pneumonia No V 5
15 M, 53 25.00 PHCC Left hepatectomy with resection of Sg1 Biliary confluence resection / Hepaticojejunostomy
Portal resection / End to end anastomosis 		360 500 32 Death caused by septic shock secondary to cholangitis No V 17
BMI body mass index, CRLM colorectal liver metastasis, GBCC gallbladder cholangiocarcinoma, HCC hepatocellular carcinoma, NETLM neuroendocrine tumor liver metastasis, PHCC perihilar cholangiocarcinoma, Sg segment, RBC red blood cells, ICU intensive care unit
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Patient Safety in Surgery

ISSN: 1754-9493

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