Morbidity and mortality of iatrogenic hemothorax occurring in a cohort of liver transplantation recipients: a multicenter observational study

Fabrizio PANARO; Al Taweel Bader; Leon Piera; Ghinolfi Davide; Testa Giuliano; Kalisvaart Marit; Muiesan Paolo; Romagnoli Renato; Lesurtel Mickael; Cassese Gianluca; Truant Stephanie; Addeo Pietro; Sainz-Barrica Mauricio; Baccarani Umberto; De Simone Paolo; Belafia Fouad; Herrero Astrid; Navarro Francis

doi:10.1007/s13304-021-01098-0

Morbidity and mortality of iatrogenic hemothorax occurring in a cohort of liver transplantation recipients: a multicenter observational study

Fabrizio PANARO, Al Taweel Bader, Leon Piera, Ghinolfi Davide, Testa Giuliano, Kalisvaart Marit, Muiesan Paolo, Romagnoli Renato, Lesurtel Mickael, Cassese Gianluca, Truant Stephanie, Addeo Pietro, Sainz-Barrica Mauricio, Baccarani Umberto, De Simone Paolo, Belafia Fouad, Herrero Astrid, Navarro Francis

Department of Health Sciences

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Abstract

Hemothorax (HT) is a life-threatening condition, mainly iatrogenic and poorly explored in Liver Transplantation (LT) recipients. The aim of this study is to report and analyze for the first time incidence and outcomes of HT in LT recipients, as well as to suggest a management strategy. Data concerning 7130 consecutive adult liver and liver-kidney transplant recipients were retrospectively collected from ten Transplantation Centers' institutional databases, over a 10-year period. Clinical parameters, management strategies and survival data about post-operative HT were analyzed and reported. Thirty patients developed HT during hospitalization (0.42%). Thoracentesis was found to be the most common cause of HT (16 patients). A non-surgical management was performed in 17 patients, while 13 patients underwent surgery. 19 patients developed thoracic complications after HT treatment, with an overall mortality rate of 50%. The median length of stay in Intensive Care Units was 22 days (IQR25-75 5-66.5). Postoperative hemothorax is mainly due to iatrogenic causes in LT recipients. Despite rare, it represents a serious complication with a high mortality rate and a challenging medical and surgical management. Its occurrence should always be prevented.

Original language	English
Pages (from-to)	1727-1734
Number of pages	8
Journal	Updates in Surgery
Volume	73
Issue number	5
DOIs	https://doi.org/10.1007/s13304-021-01098-0
Publication status	Published - 2021

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10.1007/s13304-021-01098-0

https://hdl.handle.net/11579/171603

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PANARO, F., Bader, A. T., Piera, L., Davide, G., Giuliano, T., Marit, K., Paolo, M., Renato, R., Mickael, L., Gianluca, C., Stephanie, T., Pietro, A., Mauricio, S.-B., Umberto, B., Paolo, D. S., Fouad, B., Astrid, H., & Francis, N. (2021). Morbidity and mortality of iatrogenic hemothorax occurring in a cohort of liver transplantation recipients: a multicenter observational study. Updates in Surgery, 73(5), 1727-1734. https://doi.org/10.1007/s13304-021-01098-0

@article{4817999ade56494287c56d05bc21ca48,

title = "Morbidity and mortality of iatrogenic hemothorax occurring in a cohort of liver transplantation recipients: a multicenter observational study",

abstract = "Hemothorax (HT) is a life-threatening condition, mainly iatrogenic and poorly explored in Liver Transplantation (LT) recipients. The aim of this study is to report and analyze for the first time incidence and outcomes of HT in LT recipients, as well as to suggest a management strategy. Data concerning 7130 consecutive adult liver and liver-kidney transplant recipients were retrospectively collected from ten Transplantation Centers' institutional databases, over a 10-year period. Clinical parameters, management strategies and survival data about post-operative HT were analyzed and reported. Thirty patients developed HT during hospitalization (0.42%). Thoracentesis was found to be the most common cause of HT (16 patients). A non-surgical management was performed in 17 patients, while 13 patients underwent surgery. 19 patients developed thoracic complications after HT treatment, with an overall mortality rate of 50%. The median length of stay in Intensive Care Units was 22 days (IQR25-75 5-66.5). Postoperative hemothorax is mainly due to iatrogenic causes in LT recipients. Despite rare, it represents a serious complication with a high mortality rate and a challenging medical and surgical management. Its occurrence should always be prevented.",

author = "Fabrizio PANARO and Bader, {Al Taweel} and Leon Piera and Ghinolfi Davide and Testa Giuliano and Kalisvaart Marit and Muiesan Paolo and Romagnoli Renato and Lesurtel Mickael and Cassese Gianluca and Truant Stephanie and Addeo Pietro and Sainz-Barrica Mauricio and Baccarani Umberto and Paolo, {De Simone} and Belafia Fouad and Herrero Astrid and Navarro Francis",

year = "2021",

doi = "10.1007/s13304-021-01098-0",

language = "English",

volume = "73",

pages = "1727--1734",

journal = "Updates in Surgery",

issn = "2038-3312",

publisher = "Springer-Verlag Italia s.r.l.",

number = "5",

}

PANARO, F, Bader, AT, Piera, L, Davide, G, Giuliano, T, Marit, K, Paolo, M, Renato, R, Mickael, L, Gianluca, C, Stephanie, T, Pietro, A, Mauricio, S-B, Umberto, B, Paolo, DS, Fouad, B, Astrid, H & Francis, N 2021, 'Morbidity and mortality of iatrogenic hemothorax occurring in a cohort of liver transplantation recipients: a multicenter observational study', Updates in Surgery, vol. 73, no. 5, pp. 1727-1734. https://doi.org/10.1007/s13304-021-01098-0

TY - JOUR

T1 - Morbidity and mortality of iatrogenic hemothorax occurring in a cohort of liver transplantation recipients: a multicenter observational study

AU - PANARO, Fabrizio

AU - Bader, Al Taweel

AU - Piera, Leon

AU - Davide, Ghinolfi

AU - Giuliano, Testa

AU - Marit, Kalisvaart

AU - Paolo, Muiesan

AU - Renato, Romagnoli

AU - Mickael, Lesurtel

AU - Gianluca, Cassese

AU - Stephanie, Truant

AU - Pietro, Addeo

AU - Mauricio, Sainz-Barrica

AU - Umberto, Baccarani

AU - Paolo, De Simone

AU - Fouad, Belafia

AU - Astrid, Herrero

AU - Francis, Navarro

PY - 2021

Y1 - 2021

N2 - Hemothorax (HT) is a life-threatening condition, mainly iatrogenic and poorly explored in Liver Transplantation (LT) recipients. The aim of this study is to report and analyze for the first time incidence and outcomes of HT in LT recipients, as well as to suggest a management strategy. Data concerning 7130 consecutive adult liver and liver-kidney transplant recipients were retrospectively collected from ten Transplantation Centers' institutional databases, over a 10-year period. Clinical parameters, management strategies and survival data about post-operative HT were analyzed and reported. Thirty patients developed HT during hospitalization (0.42%). Thoracentesis was found to be the most common cause of HT (16 patients). A non-surgical management was performed in 17 patients, while 13 patients underwent surgery. 19 patients developed thoracic complications after HT treatment, with an overall mortality rate of 50%. The median length of stay in Intensive Care Units was 22 days (IQR25-75 5-66.5). Postoperative hemothorax is mainly due to iatrogenic causes in LT recipients. Despite rare, it represents a serious complication with a high mortality rate and a challenging medical and surgical management. Its occurrence should always be prevented.

AB - Hemothorax (HT) is a life-threatening condition, mainly iatrogenic and poorly explored in Liver Transplantation (LT) recipients. The aim of this study is to report and analyze for the first time incidence and outcomes of HT in LT recipients, as well as to suggest a management strategy. Data concerning 7130 consecutive adult liver and liver-kidney transplant recipients were retrospectively collected from ten Transplantation Centers' institutional databases, over a 10-year period. Clinical parameters, management strategies and survival data about post-operative HT were analyzed and reported. Thirty patients developed HT during hospitalization (0.42%). Thoracentesis was found to be the most common cause of HT (16 patients). A non-surgical management was performed in 17 patients, while 13 patients underwent surgery. 19 patients developed thoracic complications after HT treatment, with an overall mortality rate of 50%. The median length of stay in Intensive Care Units was 22 days (IQR25-75 5-66.5). Postoperative hemothorax is mainly due to iatrogenic causes in LT recipients. Despite rare, it represents a serious complication with a high mortality rate and a challenging medical and surgical management. Its occurrence should always be prevented.

UR - https://iris.uniupo.it/handle/11579/171603

U2 - 10.1007/s13304-021-01098-0

DO - 10.1007/s13304-021-01098-0

M3 - Article

SN - 2038-3312

VL - 73

SP - 1727

EP - 1734

JO - Updates in Surgery

JF - Updates in Surgery

IS - 5

ER -

Morbidity and mortality of iatrogenic hemothorax occurring in a cohort of liver transplantation recipients: a multicenter observational study

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