Low Hemoglobin Level Is Associated with the Development of @entity933 after Hepatectomy for @entity157 XXXX .

@entity1 @entity5 @entity260 @entity933 @entity157
BACKGROUND: @entity157 ( @entity157 ) is one of the most common @entity5 worldwide and liver resection is the only potential curative treatment option for those @entity1 . @entity260 specific to elderly surgical @entity1 such as @entity933 will be increasingly relevant in the coming decades. Herein, we aimed to investigate the risk factors for @entity260 in @entity1 who have received hepatectomy for @entity157 . METHODS: This is a single medical center observational study and the study subjects comprised 401 individuals who underwent liver resection for @entity157 during January 2009 to October 2013. Multivariate analysis was used to examine whether preoperative, intra-operative, or postoperative variables were associated with the development of @entity933 . RESULTS: Of the 401 @entity1 who underwent hepatectomy, 34 developed @entity260 (8.4%). In the majority of those @entity1 , symptoms and signs of the syndrome occurred on postoperative day 2 and the mean duration of symptoms was 3.61    3.71 days. Multivariate analysis revealed that advanced age (>71 years) [odds ratio (OR) = 1.133, 95% confidence interval (CI): 1.071-1.200, p<0.001], prolonged operative time (>190 minutes) (OR = 1.009, 95% CI: 1.000-1.017, p = 0.038), a decreased postoperative hemoglobin level (< 10.16 g/dL) (OR = 0.777, 95% CI: 0.613-0.983, p = 0.036), and history of hypnotic drug use (OR = 3.074, 95% CI: 1.045-9.039, p = 0.041) were independent risk factors for the development of @entity260 after hepatectomy. CONCLUSIONS: Although the mechanism of @entity260 is not well understood, numbers of studies have shown that @entity1 with @entity260 tend to have prolonged hospital stay, worse postoperative outcome and an increased risk of short- and long-term mortality. In this study, we found that advanced age, prolonged operative time, postoperative low hemoglobin level and history of hypnotic drug use are independent risk factors for @entity260 .
