Abstract
Influence on perioperative risks of hepatectomy in the presence or absence of psychiatric disorder was examined in this retrospective study. Subjects were 82 hepatectomy cases of 72 patients performed in our department between April 1996 and July 2003. These cases were divided into two groups; 13 hepatectomy cases of 11 patients with psychiatric disorder were assigned to the coexisted group and 69 hepatectomy cases of 61 without psychiatric disorder to the non-existed group. Perioperative results (operative method, operation time, quantity of hemorrhage, blood transfusion, postoperative complication, and postoperative hospital stay) were compared between both groups. There was no significant difference in background factors such as age, sex, liver function, and operative method between them. Incidences of resistance to medical treatment and physical restriction needed in postoperative course were significantly higher in the coexisted group than in the non-existed group. However, there was no significant difference in the frequency of physical complications and duration of postperative hospital stay. The hepatectomy can be performed with equal safety whether patients have psychiatric disorder or not, and so, coexistence of psychiatric disorder is unlikely to rise risks of hepatectomy.
