Pancreaticobiliary Disease

Hepatectomy

Cleveland Clinic Digestive Disease and Surgery Institute's Liver Tumor Program offers diverse and advanced surgical liver procedures are offered to patients with primary and secondary liver malignancy, as well as with symptomatic or complicated benign liver tumors. Cancers affecting the liver that are treated by our surgical team include hepatocellular carcinoma, cholangiocarcinoma (bile duct cancer), colorectal cancer liver metastases, gallbladder cancer and other conditions. Benign liver tumors that are intervened surgically include large and symptomatic hemangiomas, adenomas and complex cysts.

The Cleveland Clinic Liver Tumor Program is a multidisciplinary platform comprised by physicians from diverse specialties including liver surgery, hepatology, oncology and interventional radiology. Treatment decision tailored for each individual patient is made through a multidisciplinary liver tumor board.

Major Hepatectomy ACS NSQIP Outcomes

January 1, 2024 – December 31, 2024

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) objectively measures and reports risk-adjusted surgical outcomes based on a defined sampling and abstraction methodology. These outcomes data reflect Cleveland Clinic’s overall major hepatectomy ACS NSQIP performance benchmarked against 134 participating sites.

Major Hepatectomy (134 Sites)NObservedExpected
30 Day Mortality250.00%1.38%
30 Day Morbidity2520.00%23.80%
Cardiac250.00%1.28%
Pneumonia254.00%2.78%
Unplanned Intubation254.00%2.22%
Deep Vein Thrombosis (DVT) / Pulmonary Embolus254.00%3.40%
Renal Failure254.00%6.84%
Surgical Site Infection (SSI)2516.00%15.55%
Sepsis254.00%5.74%
Unplanned Reoperation258.00%4.21%
Length of Stay2035.00%20.56%
Unplanned Readmission2516.00%16.21%
Invasive Intervention2520.00%13.74%
Bile Leakage2524.00%14.13%
Liver Failure258.00%7.02%

American College of Surgeons National Surgical Quality Improvement Program, 2025.
ACS NSQIP® Semiannual Report July, 2025, Chicago: American College of Surgeons.

Partial Hepatectomy ACS NSQIP Outcomes

January 1, 2024 – December 31, 2024

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) objectively measures and reports risk-adjusted surgical outcomes based on a defined sampling and abstraction methodology. These outcomes data reflect Cleveland Clinic’s overall partial hepatectomy ACS NSQIP performance benchmarked against 153 participating sites.

Partial Hepatectomy (153 Sites)NObservedExpected
30 Day Morbidity7816.67%14.15%
Pneumonia780.00%1.69%
Renal Failure783.85%2.58%
Surgical Site Infection (SSI)788.97%8.04%
C.diff Colitis780.00%0.29%
Length of Stay6328.57%20.79%
Unplanned Readmission7812.82%9.48%
Invasive Intervention788.97%6.16%
Bile Leakage787.69%6.93%
Liver Failure780.00%1.07%

American College of Surgeons National Surgical Quality Improvement Program, 2025.
ACS NSQIP® Semiannual Report July, 2025, Chicago: American College of Surgeons.