Operation start time and long-term outcome of hepatocellular carcinoma after curative hepatic resection

Qiang Lu; Qing-Shan Li; Wei Zhang; Kang Liu; Tao Li; Jia-Wei Yu; Yi Lv; Xu-Feng Zhang

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자료유형: 학술저널

저자정보: Qiang Lu (The First Affiliated Hospital of Xi’an Jiaotong University) Qing-Shan Li (The First Affiliated Hospital of Xi’an Jiaotong University) Wei Zhang (The First Affiliated Hospital of Xi’an Jiaotong University) Kang Liu (The First Affiliated Hospital of Xi’an Jiaotong University) Tao Li (The First Affiliated Hospital of Xi’an Jiaotong University) Jia-Wei Yu (Shaanxi Provincial Regenerative Medicine and Surgical Engineering Research Center) Yi Lv (The First Affiliated Hospital of Xi’an Jiaotong University) Xu-Feng Zhang (The First Affiliated Hospital of Xi’an Jiaotong University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.1

발행연도: 2020.7

수록면: 1 - 7 (7page)

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Purpose: The objective of the current study was to examine the potential effects of surgery start times (morning vs. afternoon) on the long-term prognosis of patients after hepatic resection (HR) for hepatocellular carcinoma (HCC).
Methods: All eligible patients were divided into 2 groups according to the start time of surgery: group M (morning surgery, 8 AM–1 PM) and group A (afternoon surgery, 1 PM–6 PM). Clinicopathologic and surgical parameters, as well as oncologic outcomes were compared between the 2 groups.
Results: In total, 231 patients were included in the study. There was no difference in age, body mass index, comorbidities, tumor size, tumor location, tumor stages, surgical procedures, or surgical margin between morning and afternoon surgery (all P > 0.05). In contrast, patients in group M experienced longer operation duration than those in group A (median, 240 minutes vs. 195 minutes, P = 0.004). However, no differences of overall survival were observed between morning and afternoon surgery groups in the whole cohort or stratified by surgical margin (all P > 0.05).
Conclusion: Surgery start times during the work day have no measurable influence on patient outcome following curative HR for HCC, indicating good self-regulation and professional judgment of surgeons for progressive fatigue during surgery.

#Carcinoma #Fatigue #Hepatectomy #Hepatocellular #Prognosis

참고문헌 (27)

참고문헌 신청

Jean-Marc Bigourdan / 2003 / Small hepatocellular carcinoma in child A cirrhotic patients : hepatic resection versus transplantation / Liver Transpl 9:513~520

Mazzaferro V / 1996 / Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis / N Engl J Med 334:693~699

Li Zhou / 2014 / Early recu rrence in large hepatocellular carcinoma after curative hepatic resection : prog nostic significance and risk factors / Hepatogastroenterology 61:2035~2041

Enr ico Benzoni / 2007 / Liver resection for hepatocellular carcinoma : a multivariate analysis of factors associated with improved prognosis. The role of clinical, pathological and surgical related factors / Tumori 93:264~268

Lana Sturm / 2011 / Effects of fatigue on surgeon performance and surgical outcomes : a systematic review / ANZ J Surg 81:502~509

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