Digestive Disease & Surgery Institute Outcomes
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, 2022 – December 31, 2022
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) | N | Observed | Expected |
|---|---|---|---|
| 30 Day Morbidity | 19 | 31.58% | 24.44% |
| Cardiac | 19 | 5.26% | 2.36% |
| Pneumonia | 19 | 0.00% | 1.75% |
| Ventilator > 48 Hours | 19 | 0.00% | 1.59% |
| Deep Vein Thrombosis (DVT) / Pulmonary Embolus | 19 | 5.26% | 3.78% |
| Renal Failure | 19 | 0.00% | 0.48% |
| Urinary Tract Infection (UTI) | 19 | 0.00% | 0.80% |
| Surgical Site Infection (SSI) | 19 | 31.58% | 15.30% |
| Sepsis | 19 | 10.53% | 6.53% |
| C.diff Colitis | 19 | 10.53% | 0.61% |
| Unplanned Reoperation | 19 | 5.26% | 6.47% |
| Length of Stay | 13 | 7.69% | 13.63% |
| Unplanned Readmission | 19 | 21.05% | 16.30% |
| Invasive Intervention | 19 | 5.26% | 13.88% |
| Bile Leakage | 19 | 5.26% | 17.48% |
| Liver Failure | 19 | 5.26% | 6.61% |
American College of Surgeons National Surgical Quality Improvement Program, 2023.
ACS NSQIP® Semiannual Report July 3, 2023, Chicago: American College of Surgeons.
Partial Hepatectomy ACS NSQIP Outcomes
January 1, 2022 – December 31, 2022
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) | N | Observed | Expected |
|---|---|---|---|
| 30 Day Mortality | 89 | 1.12% | 0.72% |
| 30 Day Morbidity | 89 | 8.99% | 16.01% |
| Cardiac | 89 | 1.12% | 1.26% |
| Pneumonia | 89 | 0.00% | 1.86% |
| Unplanned Intubation | 89 | 0.00% | 0.56% |
| Ventilator > 48 Hours | 89 | 1.12% | 0.48% |
| Deep Vein Thrombosis (DVT) / Pulmonary Embolus | 89 | 0.00% | 1.40% |
| Surgical Site Infection (SSI) | 89 | 4.49% | 9.33% |
| Sepsis | 89 | 0.00% | 2.74% |
| Unplanned Reoperation | 89 | 2.25% | 1.63% |
| Length of Stay | 81 | 28.40% | 21.48% |
| Unplanned Readmission | 89 | 11.24% | 11.47% |
| Invasive Intervention | 89 | 2.25% | 7.28% |
| Bile Leakage | 89 | 3.37% | 5.74% |
American College of Surgeons National Surgical Quality Improvement Program, 2023.
ACS NSQIP® Semiannual Report July 3 2023, Chicago: American College of Surgeons.
