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Invited Critique
November 1, 2003

One Thousand Fifty-Six Hepatectomies Without Mortality in 8 Years—Invited Critique

Arch Surg. 2003;138(11):1206. doi:10.1001/archsurg.138.11.1206

Today there is a heightened focus on mortality and cost as related to hospital and individual surgeon volumes for increasing numbers of major operative procedures. As such, liver resection has been included in the outcomes' spotlight.

In this article by Imamura et al, the authors present their mortality and morbidity results from 915 patients undergoing 1056 hepatic resections. Clearly, the authors are to be lauded for their excellent operative outcomes in this large, heterogeneous group of patients. The results speak for themselves: postoperative liver failure in only one patient; single-digit major complication rates in patients with hepatocellular carcinoma, many of whom had concurrent cirrhosis; and no operative mortality in the entire series.