Major liver resection for hepatocellular carcinoma in the morbidly obese: A proposed strategy to improve outcome

BACKGROUND: Morbid obesity strongly predicts morbidity and mortality in surgical patients. However, obesity's impact on outcome after major liver resection is unknown. CASE PRESENTATION: We describe the management of a large hepatocellular carcinoma in a morbidly obese patient (body mass index...

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Detalles Bibliográficos
Autores principales: Barakat, Omar, Skolkin, Mark D, Toombs, Barry D, Fischer, John H, Ozaki, Claire F, Wood, R Patrick
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Technical Innovations
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2542372/
https://www.ncbi.nlm.nih.gov/pubmed/18783621
http://dx.doi.org/10.1186/1477-7819-6-100
Descripción
Sumario:BACKGROUND: Morbid obesity strongly predicts morbidity and mortality in surgical patients. However, obesity's impact on outcome after major liver resection is unknown. CASE PRESENTATION: We describe the management of a large hepatocellular carcinoma in a morbidly obese patient (body mass index >50 kg/m(2)). Additionally, we propose a strategy for reducing postoperative complications and improving outcome after major liver resection. CONCLUSION: To our knowledge, this is the first report of major liver resection in a morbidly obese patient with hepatocellular carcinoma. The approach we used could make this operation nearly as safe in obese patients as it is in their normal-weight counterparts.

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