The Retrospective Study on High Risk Factors of Subphrenic Infection after Hepatectomy

In order to identify the high risk factors that determine subphrenic infection after hepatectomy, 187 liver resections performed during January, 1985 to December, 1990 in Department of Surgery of Tongji Hospital were reviewed. Thirteen patients developed subphrenic infection with the incidence of subphrenic infection being 6. 95%. The results of retrospective study on 187 liver resections demonstrated that the high risk factors related to subphrenic infection after hepatectomy were as follows: (1) The extent of liver resection was associated with subphrenic infection.(2) The incidence of subphrenic infection after liver resection of primary liver cancer patients with hepatic cirrhosis was higher than that of non-cirrhotic patients. (3) Intraoperative estimated blood loss greater than 1500 ml was found to be a significant risk factor in the development of postoperative subphrenic infection.(4) Adequate postoperative drainage of subdiaphragm and the raw surface of the liver was one of critical factors of decreasing subphrenic infection after liver resection.

肝切除术后膈下感染高危因素的回顾性研究

1985年1月～1990年12月肝切除术187例,其中13例发生肝切除术后膈下感染,发生率为6.95％。对187例肝切除术的回顾性研究表明,与肝切除术后隔下感染发生有关的高危因素为:肝切除范围,伴发肝硬化的原发性肝癌,术中估计出血量超过1 500 ml者,术后膈下引流;其中膈下引流是否通畅为影响肝切除术后膈下感染发生的至关重要因素之一。

肝脏恶性肿瘤术后隔下感染的病因探讨

为了阐明肝脏恶性肿瘤行肝切除术后膈下感染发生的高危因素，我们对１１０例肝脏恶性肿瘤施行的肝切除术进行回顾性分析，其中９例发生膈下感染，发生率８．１８％。结果表明，膈下感染的发生与肝切除范围，是否伴肝硬化背景和术中出血量有关；与原发性肝癌的病程或分期无关；术后膈下与残肝面的通畅引流是防止肝切除术后膈下感染发生的关键因素。