Résumé
BackgroundStudies evaluating the impact of the American Society of Anesthesiologists Physical status (ASA-PS) score on outcomes after liver resection (LR) are currently lacking. The aim was to evaluate the value of ASA-PS score on perioperative outcomes for laparoscopic liver resection (LLR).MethodsThis is a retrospective analysis of patients who underwent LLR from 1996 to 2018 at 29 French medical centers. High-risk anesthesia patients were defined as those with ASA-PS scores ≥ 3. Postoperative outcomes including 90-day mortality, morbidity and failure to rescue (death within 90 days following any major postoperative complication) were compared between high- and low-risk anesthesia patients.ResultsOf 3154 patients included, 734 (23.3%) had ASA-PS scores ≥ 3. The 90-day mortality (2.6% vs. 0.6%), overall morbidity (42.0% vs. 33.8%), severe morbidity (11.2% vs. 7.4%) and failure to rescue (23.2% vs. 7.9%) rates were higher in the ASA-PS score ≥ 3 group (all p < 0.05). In the multivariable analysis, ASA-PS score ≥ 3 was an independent risk factor for failure to rescue after LLR in the study population.ConclusionsLLR in high-ASA patients can be performed with a higher rate of mortality and morbidity.