Table 2 The perioperative outcomes of high-BMI HCC patients undergoing RH or OH before and after PSM
Variable | Before PSM | After PSM | |||||
|---|---|---|---|---|---|---|---|
RH group (n = 172) | OH group (n = 132) | P value | RH group (n = 104) | OH group (n = 104) | P value | ||
Operative time, min | 147.5 (100.5, 210.0) | 190.0 (153.5, 233.75) | < 0.001 | 170.0 (110.5, 225.8) | 184.5 (155.0,226. 3) | 0.048 | |
Estimated blood loss, ml | 50.0 (50.0, 200.0) | 300.0 (162.5, 600.0) | < 0.001 | 75.0 (50.0, 200.0) | 300.0 (100.0, 600.0) | < 0.001 | |
Blood transfusion | |||||||
Yes | 13 (7.6) | 26 (19.7) | 0.002 | 10 (9.6) | 20 (19.2) | 0.048 | |
No | 159 (92.4) | 106 (80.3) | 94 (90.4) | 84 (80.8) | |||
Pringle maneuver | |||||||
Yes | 134 (77.9) | 111 (84.1) | 0.177 | 82 (78.8) | 88 (84.6) | 0.282 | |
No | 38 (22.1) | 21 (15.9) | 22 (21.2) | 16 (15.4) | |||
Total clamping time, min | 24.5 (12.3, 39.8) | 21.0 (10.3, 33.0) | 0.261 | 25.5 (14.3, 44.0) | 18.0 (10.25, 32.0) | 0.041 | |
Postoperative AFP, ng/mL | |||||||
≤ 400 | 169 (98.3) | 126 (95.5) | 0.153 | 102 (98.1) | 98 (94.2) | 0.149 | |
> 400 | 3 (1.7) | 6 (4.5) | 2 (1.9) | 6 (5.8) | |||
Nonoperative complications | |||||||
Yes | 5 (2.9) | 7 (5.3) | 0.288 | 3 (2.9) | 5 (4.8) | 0.471 | |
NO | 167 (97.1) | 125 (94.7) | 101 (97.1) | 99 (95.2) | |||
Type of nonoperative complications ¶ | |||||||
Cardiac events | 3 (1.7) | 3 (2.3) | 0.479 | 2 (1.9) | 2 (1.9) | 0.600 | |
Respiratory events | 2 (1.2) | 4 (3.0) | 1 (1.0) | 3 (2.9) | |||
Minor surgical complications (Clavien-Dindo I–II) | |||||||
Yes | 2 (1.2) | 12 (9.1) | 0.001 | 2 (1.9) | 9 (8.7) | 0.030 | |
No | 170 (98.8) | 121 (90.9) | 102 (98.1) | 95 (91.3) | |||
Major surgical complications (Clavien-Dindo III–V) | |||||||
Yes | 2 (1.2) | 4 (3.0) | 0.246 | 2 (1.9) | 2 (1.9) | 1.000 | |
No | 170 (98.8) | 127 (97.0) | 102 (98.1) | 102 (98.1) | |||
Type of surgical complications ¶ | |||||||
Liver failure | 0 (0.0) | 2 (1.5) | 0.041 | 0 (0.0) | 0 (0.0) | 0.348 | |
Hepatic insufficiency | 1 (0.6) | 1 (0.8) | 1 (1.0) | 1 (1.0) | |||
Bile leakage | 1 (0.6) | 1 (0.8) | 1 (1.0) | 1 (1.0) | |||
Surgical site infection | 0 (0.0) | 5 (3.8) | 0 (0.0) | 4 (3.8) | |||
Ascites | 1 (0.6) | 4 (3.0) | 1 (1.0) | 3 (2.9) | |||
Intra-abdominal hemorrhage | 1 (0.6) | 2 (1.5) | 1 (1.0) | 2 (1.9) | |||
Others | 0 (0.0) | 1 (0.8) | 0 (0.0) | 0 (0.0) | |||
Postoperative LOS, day | 5.0 (4.0, 7.0) | 9.0 (7.0, 11.0) | < 0.001 | 5.0 (4.0, 7.0) | 9.0 (7.0, 11.0) | < 0.001 | |
90-day mortality | 1 (0.6) | 1 (0.8) | 0.851 | 1 (1.0) | 0 (0.0) | 0.316 | |