0000000000940771
AUTHOR
Ricardo Arvizu
Rotura hepática espontánea en el síndrome HELLP: tratamiento mediante packing
Resumen La rotura hepatica espontanea asociada a sindrome de HELLP (hemolisis, elevacion de enzimas hepaticas y plaquetopenia) es extremadamente rara y se acompana de una elevada tasa de complicaciones y mortalidad maternofetal. Es necesario un tratamiento urgente basado en la finalizacion del embarazo, reposicion de hemoderivados y hemostasia hepatica. Presentamos el caso de una paciente con sindrome HELLP y rotura hepatica espontanea tratada mediante cesarea urgente y packing hepatico.
Impact of type and severity of postoperative complications on long‐term outcomes after colorectal liver metastases resection
Background and objectives Postoperative complications (POCs) after hepatic resection for colorectal liver metastases (CRLM) adversely affect long-term survival. The aim of this study was to analyze the effect of POC etiology and severity on overall survival (OS) and disease-free survival (DFS). Methods A retrospective study of 254 consecutive hepatectomies for CRLM was performed. Univariate and multivariate analyses were performed to determine the effects of demographic, tumor-related and perioperative variables on OS and DFS. A 1:1 propensity score matching (PSM) was then used to compare patients with different POC etiology: infective (Inf-POC), noninfective (Non-inf POC), and no-complicat…