BACKGROUND: Improvements in liver surgery have led to decreased mortality rates. Symptomatic perihepatic collections (SPHCs) requiring percutaneous drainage remain a significant source of morbidity. STUDY DESIGN: A single institution's prospectively maintained hepatic resection database was reviewed to identify @entity1 who underwent hepatectomy between January 2004 and February 2012. RESULTS: Data from 2173 hepatectomies performed in 2040 @entity1 were reviewed. Overall, 200 (9  %) @entity1 developed an SPHC, the majority non-bilious (75.5  %) and infected (54  %). Major hepatic resections, larger than median @entity190 (>= 360  ml), use of surgical drains, and simultaneous performance of a colorectal procedure were associated with an SPHC on multivariate analysis. Non-bilious, non-infected (NBNI) collections were associated with lower white blood cell (WBC) counts, absence of a bilio-enteric @entity254 , use of hepatic arterial infusion pump (HAIP), and presence of metastatic disease, and resolved more frequently with a single interventional radiology (IR) procedure (85 vs 46.5  %, p   <   0.001) more quickly (15 vs 30  days, p   =   0.001). CONCLUSIONS: SPHCs developed in 9  % of @entity1 in a modern series of hepatic resections, and in one third were non-bilious and non-infected. In the @entity7971 of modern interventional radiology, the need for re-operation for SPHC is exceedingly rare. A significant proportion of minimally symptomatic SPHC @entity1 may not require drainage, and strategies to avoid unnecessary drainage are warranted.

Symptomatic Perihepatic Fluid Collections After Hepatic Resection in the Modern XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity7971 :: ('26284', 'Gene') :: ['era'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss']
@entity7971 :: (26284,Gene) :: ['Era']
